Individual
LEE D BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3811 E PARKCENTER BLVD, BOISE, ID 83716-4716
(907) 305-0510
Mailing address
3811 E PARKCENTER BLVD, BOISE, ID 83716-4716
(907) 305-0510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
02/05/2019
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