Individual
ANDREW RICHARD BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 TUSCARAWAS ST W, CANTON, OH 44702-2044
(234) 410-8257
Mailing address
5982 RHODES RD, KENT, OH 44240-8100
(234) 410-8257
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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