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Individual

AMANDA BURGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSWA

Contact information

Practice address
116 LEE ST, SHELBY, NC 28150-3839
(704) 487-4000
Mailing address
116 LEE ST, SHELBY, NC 28150-3839

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P018943
NC
1041C0700X
Clinical Social Worker
PO18943
NC

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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