DR. Virginia Lee Burgess, LISW

NPI #1457339764 in Farmington, New Mexico

Provider Information

NPI Number
1457339764
Entity Type
Individual
Name
DR. Virginia Lee Burgess, LISW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LISW
Enumeration Date
Jan 6, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1001 W BROADWAY STE D
Address 2
BEHAVIORAL HEALTH DEPT.
ZIP Code
87401-5638
Phone
(505) 566-0317

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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