Individual
DONNA E BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
105 NORTHGATE RD, SUITE 2, NATCHEZ, MS 39120-9162
(601) 442-7141
(601) 442-7343
Mailing address
104 DANAWOOD LN, VICKSBURG, MS 39180-9146
(601) 415-2060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C2307
MS
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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