Evangeline V Burden LMSW

NPI 1235433384 - Social Worker - 1041C0700X

NPI Details
NPI 1235433384
Gender Female
Enumeration Date 01/04/2011
Last Updated 01/04/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5555 CONNER ST
SUITE 3265
DETROIT MI, 48213-3448, US
Phone (313) 836-7563
Fax
Business Location
21815 BEECH RD
SOUTHFIELD MI, 48033-5909, US
Phone (248) 356-2563
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Michigan
License Number 6801005556
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According to our database, Evangeline V Burden LMSW NPI is 1235433384, taxonomy code is 1041C0700X and license number is 6801005556, license state is located at Michigan. Evangeline V Burden LMSW physically located at 5555 Conner St, Detroit MI, 48213-3448. NPI Number Evangeline V Burden LMSW has the Individual type.

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1235433384 NPI number is provided on an as is basis without warranty of any kind. 1235433384 is maintained by the National Plan & Provider Enumeration System. The contents of Evangeline V Burden LMSW are for informational purposes only.