Individual
KIMBERLEE LORRAINE BURRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
69 SHERRY LN, PRINCE FREDERICK, MD 20678-3231
(443) 603-7239
Mailing address
185 ADMIRAL COCHRANE DR STE 120, ANNAPOLIS, MD 21401-7600
(443) 440-5782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2212
MD
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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