KATHARINE BURGESS

COSTA MESA, CA
NPI1902429194
Former NameKATHARINE TAKESHITA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  79590)
Enumeration Date2020-05-21
Last Update Date2020-05-21
Business Address
KATHARINE BURGESS
2330 VANGUARD WAY APT Q106
COSTA MESA, CA 92626-6583
Phone number: 562-810-6277
Mailing Address
KATHARINE BURGESS
2330 VANGUARD WAY APT Q106
COSTA MESA, CA 92626-6583
Phone number: