Individual
LORI T BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
706 W BEN WHITE BLVD STE 184, AUSTIN, TX 78704-8124
(512) 591-8358
Mailing address
2809 WARWICK WAY, AUSTIN, TX 78748-2023
(512) 944-4718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
56971
TX
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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