Individual
MR. DONALD CARL BURRIESCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CEO & MSW
Contact information
Practice address
6966B FOREST HILL AVE, RICHMOND, VA 23225-1606
(804) 323-6900
(804) 323-9616
Mailing address
6966B FOREST HILL AVE, RICHMOND, VA 23225-1606
(804) 323-6900
(804) 323-9616
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
HCO12250
VA
372600000X
Adult Companion
HCO12250
VA
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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