MRS. Kathleen Mary Burgess, LCSW
NPI #1518084896 in Wilmington, Illinois
Provider Information
- NPI Number
- 1518084896
- Entity Type
- Individual
- Name
- MRS. Kathleen Mary Burgess, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LCSW
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 19581 W BALLOU RD
- City
- Wilmington
- State
- Illinois
- ZIP Code
- 60481-8939
- Phone
- (815) 476-6589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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