Individual
MR. BURTON DAVID GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LMSW
Contact information
Practice address
28000 DEQUINDRE RD, WARREN, MI 48092-2468
(586) 753-1028
Mailing address
1626 MAPLEWOOD ST, SYLVAN LAKE, MI 48320-1737
(258) 941-7800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801060468
MI
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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