Individual
BERYLE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 CAPITOL AVE SW, ATLANTA, GA 30315-2707
(404) 612-1408
(404) 893-6445
Mailing address
4350 WESLEY DR, AUSTELL, GA 30106-1677
(704) 222-9883
(404) 893-6445
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0046
GA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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