Individual
KAREN SHAW BURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LMFT
Contact information
Practice address
2743 PERIMETER PARKWAY, SUITE 110, BUILDING 100, AUGUSTA, GA 30909
(706) 210-4843
(706) 210-4842
Mailing address
1249 BRINKLEY DR, THOMSON, GA 30824-4211
(706) 595-8954
(796) 210-4842
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000162
GA
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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