Provider Information for 1720769086
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TRINITY WALKER BURNS LMFT
Sex: Female
NPI: 1720769086
Last Updated: 2024-02-28
Certification Date: 2024-01-19
Certification Date: 2024-01-19
Details
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NPI | 1720769086 | ||||||||
Enumeration Date | 2023-07-28 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 201 RUE BEAUREGARD STE 202 LAFAYETTE, LA 70508-3251 United States Phone: | Fax: | ||||||||
Primary Practice Address | 201 RUE BEAUREGARD STE 202 LAFAYETTE, LA 70508-3251 United States Phone: 720-468-1022 | Fax: | ||||||||
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