MS. Jane Davis Burgess, LICSW

NPI #1770601098 in Putney, Vermont

Provider Information

NPI Number: 1770601098
Entity Type: Individual
Name: MS. Jane Davis Burgess, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Mar 26, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 3031 WESTMINSTER RD
City: Putney
State: Vermont
ZIP Code: 05346
Phone: (802) 257-8687

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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