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HEATHER BURDINE

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1487169744

Individual Registrant:
 HEATHER  BURDINE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: 949-273-0555  Fax: --

Contact information for business:
15161 JACKSON ST  MIDWAY CITY, CA 92655-1432 US
Tel: 949-273-0555  Fax: --

Registration Information:
NPI: 1487169744
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA76204

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BBS76204CA01
ACSW76204CA01




HEALTH CARE JOBS CA - Page 1



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