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1558028423
ASIA K BURGESS
FAYETTEVILLE, NC
NPI
1558028423
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC P016620)
Enumeration Date
2021-11-26
Last Update Date
2021-11-26
Business Address
ASIA K BURGESS LCSW-A
5619 RAMSEY ST
FAYETTEVILLE, NC 28311-1423
Phone number: 910-651-6764
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Mailing Address
ASIA K BURGESS LCSW-A
3405 BURBERRY DR
FAYETTEVILLE, NC 28306-6204
Phone number: 704-917-8194
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