Provider Information for 1588253181
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BOBBI JO BURCHINAL LISW
Sex: Female
NPI: 1588253181
Last Updated: 2025-03-22
Certification Date: 2025-03-22
Certification Date: 2025-03-22
Details
| Name | Value | ||||||||||||||||
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| NPI | 1588253181 | ||||||||||||||||
| Enumeration Date | 2021-01-18 | ||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||
| Status | Active | ||||||||||||||||
| Mailing Address | 314 S MAIN ST # 8 MOUNT VERNON, OH 43050-3333 United States Phone: 740-748-0400 | Fax:740-748-0488 | ||||||||||||||||
| Primary Practice Address | 314 S MAIN ST # 8 MOUNT VERNON, OH 43050-3333 United States Phone: 407-748-0400 | Fax:740-748-0488 | ||||||||||||||||
| Secondary Practice Address(es) | 113 W GAMBIER ST | ||||||||||||||||
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