Individual
AQUITA LYNN BURRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
403 S HAWTHORNE RD, WINSTON SALEM, NC 27103-3784
(336) 716-0800
(336) 716-0822
Mailing address
PO BOX 571097, WINSTON SALEM, NC 27157-1097
(336) 716-0800
(336) 716-0822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C011824
NC
Other
Enumeration date
06/29/2015
Last updated
11/07/2024
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