Provider Information for 1033772140
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SHUNDRA BURNES LCSW
Sex: Female
NPI: 1033772140
Last Updated: 2019-10-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1033772140 | ||||||||
| Enumeration Date | 2019-04-16 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 925 MAIN ST STE 300-50 STONE MOUNTAIN, GA 30083-3098 United States Phone: 404-416-3547 | Fax:470-867-6898 | ||||||||
| Primary Practice Address | 925 MAIN ST STE 300-50 STONE MOUNTAIN, GA 30083-3098 United States Phone: 404-416-3547 | Fax:470-867-6898 | ||||||||
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