ROBERT S BURNSIDE

FARMINGTON, NM
NPI1962725945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NM  I-05142)
Enumeration Date2010-03-05
Last Update Date2010-03-05
Business Address
Mr. ROBERT S BURNSIDE LISW
4800 COLLEGE BLVD SUITE 102
FARMINGTON, NM 87402-4710
Phone number: 505-326-3566
Mailing Address
Mr. ROBERT S BURNSIDE LISW
4800 COLLEGE BLVD SUITE 102
FARMINGTON, NM 87402-4710
Phone number: 505-326-3566