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1164089413
THERESA KAY BURWICK
JOPLIN, MO
NPI
1164089413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-22
Last Update Date
2019-05-22
Business Address
THERESA KAY BURWICK MAADC II
2919 E 4TH ST
JOPLIN, MO 64801-1625
Phone number: 417-782-7966
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Mailing Address
THERESA KAY BURWICK MAADC II
PO BOX 4692
JOPLIN, MO 64803-4692
Phone number: 417-782-7966
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