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1902429194
KATHARINE BURGESS
COSTA MESA, CA
NPI
1902429194
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Former Name
KATHARINE TAKESHITA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 79590)
Enumeration Date
2020-05-21
Last Update Date
2020-05-21
Business Address
KATHARINE BURGESS
2330 VANGUARD WAY APT Q106
COSTA MESA, CA 92626-6583
Phone number: 562-810-6277
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Mailing Address
KATHARINE BURGESS
2330 VANGUARD WAY APT Q106
COSTA MESA, CA 92626-6583
Phone number:
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