Individual
KATHLEEN ROSE BURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
11473 RACINE RD, WARREN, MI 48093-6567
(586) 925-4827
Mailing address
11473 RACINE RD, WARREN, MI 48093-6567
(586) 925-4827
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102536
MI
Other
Enumeration date
06/13/2018
Last updated
11/08/2021
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