Individual
CHARITY BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402B LEGACY PARK, RIDGELAND, MS 39157-4315
(769) 233-7154
Mailing address
124 HUNT CIR, MADISON, MS 39110-9536
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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