JEFFREY W BURNETT

SOUTH BEND, IN
NPI1720055304
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TB0200X Psychologist, Cognitive & Behavioral
(Licence: IN  20041003A)
Enumeration Date2006-03-02
Last Update Date2008-12-10
Business Address
-- JEFFREY W BURNETT HSPP
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3220
Phone number: 574-232-2255
Mailing Address
-- JEFFREY W BURNETT HSPP
611 LINCOLN WAY E
SOUTH BEND, IN 46601-3220
Phone number: 574-232-2255
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