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Kathleen Rose Burt, LMSW

Social Worker in Warren, MI. Individual provider (NPI-1).

NPI number1962995050
StatusActive
Last updated in NPPESNov 8, 2021

Details

NPI
1962995050
Entity type
Individual (NPI-1)
Name
Kathleen Rose Burt
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 13, 2018
Certification date
Nov 8, 2021
Last updated
Nov 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker6801102536MIYes

Practice location

11473 Racine Rd
Warren, MI 48093-6567

Phone 586-925-4827

Mailing address

11473 Racine Rd
Warren, MI 48093-6567

Phone 586-925-4827

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