Individual
MRS. LISA C. BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976
(256) 582-3203
(256) 582-3216
Mailing address
2409 HOMER CLAYTON DRIVE, GUNTERSVILLE, AL 35976
(256) 582-3203
(256) 582-3216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5079C
AL
Other
Enumeration date
10/24/2022
Last updated
03/08/2023
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