Individual
MS. LEE A BURDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LLP
Contact information
Practice address
7130 AUSTRIAN PINEWAY, 13A, PORTUGE, MI 49024
(269) 329-2595
Mailing address
7130 AUSTRIAN PINEWAY, 13A, PORTUGE, MI 49024
(269) 329-2595
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301008991
MI
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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