Individual
DANIEL ARTHUR BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
6801046627
MI
1041C0700X
Clinical Social Worker
Primary
6801046627
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38 2831313
TAX ID
MI
Enumeration date
11/10/2010
Last updated
03/21/2022
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