Individual
EZEKIAH REIS BURGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
99 ROBERTS ST APT 3, WOONSOCKET, RI 02895-9700
(413) 569-8124
Mailing address
11 ROBERT TONER BLVD, STE 5 # 128, NORTH ATTLEBORO, MA 02763-1156
(413) 569-8124
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124825
MA
Other
Enumeration date
10/16/2017
Last updated
05/17/2023
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