Individual
AMY MARIE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWT
Contact information
Practice address
5726 SOUTHWYCK BLVD STE 200, TOLEDO, OH 43614-1510
(419) 214-1766
(419) 214-1792
Mailing address
5726 SOUTHWYCK BLVD STE 200, TOLEDO, OH 43614-1510
(419) 214-1766
(419) 214-1792
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S2604868
OH
Other
Enumeration date
03/07/2018
Last updated
02/25/2026
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