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Individual

MS. JACQUELINE BURSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
4545 CRAIN HWY, WHITE PLAINS, MD 20695-3045
(301) 609-6723
Mailing address
4545 CRAIN HWY, WHITE PLAINS, MD 20695-3045
(301) 609-6723

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4878
MD

Other

Enumeration date
02/05/2014
Last updated
02/05/2014
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