Individual
ASHLEY MICHELE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2501 SEMMES AVE APT B, RICHMOND, VA 23225-3851
(540) 907-7186
Mailing address
2501 SEMMES AVE APT B, RICHMOND, VA 23225-3851
(540) 907-7186
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904014059
VA
Other
Enumeration date
06/08/2022
Last updated
05/03/2023
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