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Individual

THERESA M BURRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCMH

Contact information

Practice address
156 S STATE ST, DOVER, DE 19901-7314
(302) 674-2380
(302) 674-1299
Mailing address
156 S STATE ST, DOVER, DE 19901-7314
(302) 674-2380
(302) 674-1299

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC0000405
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PC-0000405
STATE OF DELAWARE
DE
Enumeration date
06/15/2010
Last updated
03/03/2020
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