Individual
KATHINE MARY THORNTON BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(734) 232-8898
Mailing address
13123 E 16TH AVE # 220, AURORA, CO 80045-7106
(720) 777-7888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
085541
NY
1041C0700X
Clinical Social Worker
Primary
6801095489
MI
Other
Enumeration date
02/07/2012
Last updated
07/12/2019
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