Individual
DAISHA MONEA BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
350 SUN TEMPLE DR, MADISON, AL 35758-5919
(256) 975-4291
(256) 288-3334
Mailing address
600 SUN TEMPLE DR, MADISON, AL 35758-8643
(256) 975-4291
(256) 288-3334
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5286C
AL
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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