Individual
BARBARA SABRINA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
10504 SUTPHIN BLVD, JAMAICA, NY 11435-5022
(855) 681-8700
Mailing address
24239 130TH RD, ROSEDALE, NY 11422-1144
(917) 567-6342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
105968
NY
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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