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Provider Information for 1063775971


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Mrs. ANNE DEVON DUTCHER BURNORE LPC


Sex: Female

NPI: 1063775971
Last Updated: 2014-10-13
Certification Date:

Details

NameValue
NPI1063775971
Enumeration Date2012-06-18
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 35 MEMORIAL DR
PINEHURST, NC 28374-8708
United States

Phone: 910-715-1000 | Fax:
 
Primary Practice Address 35 MEMORIAL DR
PINEHURST, NC 28374-8708
United States

Phone: 910-715-1000 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)NC513085mhn
MEDICAIDNC6115075
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalNC8005