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Organization

BARBARA C BURTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA CIESLAK BURTON LCSW (LICENSED CLINICAL SOCIAL WORKER)
(314) 878-8855
Entity
Organization

Contact information

Practice address
1023 EXECUTIVE PARKWAY DR, SUITE 8, SAINT LOUIS, MO 63141-6323
(314) 878-8855
(314) 434-2331
Mailing address
1023 EXECUTIVE PARKWAY DR, SUITE 8, SAINT LOUIS, MO 63141-6323
(314) 878-8855
(314) 434-2331

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0001346
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10849354
CAQH
01
1356340095
NPI
01
260145
MHN
Enumeration date
02/19/2008
Last updated
02/19/2008
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