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1801575519
DAISHA MONEA BURGESS
MADISON, AL
NPI
1801575519
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: AL 5286C)
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
DAISHA MONEA BURGESS LICSW
350 SUN TEMPLE DR
MADISON, AL 35758-5919
Phone number: 256-975-4291
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Mailing Address
DAISHA MONEA BURGESS LICSW
600 SUN TEMPLE DR
MADISON, AL 35758-8643
Phone number: 256-975-4291
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