Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MA |
NPI | 1003492083 |
---|---|
Provider Name | Michelle Burns |
First Address | Haverhill, MA 01835-8515 |
Second Address | Haverhill, MA 01835-8515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2021 |
Last Update Date | 12/04/2021 |