Doctor Name: | RITA M BURLEY |
NPI Number: | 1063638286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.I.S.W. |
License Number: | 06119 |
Business Practice Address: | 311 S Clark St Carroll, IA - 514013038 |
Business Phone Number: | 7127923581 |
Business Fax Number: | 7127922124 |
Mailing Address: | 3093 Jennings Ave, ROCKWELL CITY |
State: | IA |
Postal Code: | 505797688 |
Phone Number: | 7122100451 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 02/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 06119 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |