Individual
MS. ANDREA DENISE BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9990 COUNTY FARM RD, RIVERSIDE, CA 92503-3542
(951) 358-4840
(951) 358-4848
Mailing address
13014 MAXWELL DR, TUSTIN, CA 92782-0918
(714) 838-1939
(951) 358-4848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS20412
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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