Individual
MS. DELORES ESTELLE BURRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
1662 VILLAGE GRN STE 100, CROFTON, MD 21114-2014
(410) 757-2077
Mailing address
9700 RESEARCH DR, STE 103, CHARLOTTE, NC 28262-8576
(704) 281-0514
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11608
MD
1041C0700X
Clinical Social Worker
C005755
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007164
—
NC
Enumeration date
10/01/2008
Last updated
07/02/2024
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