| Doctor Name: | MS. SANDRA LYNN BURT |
| NPI Number: | 1679516959 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, LICSW |
| License Number: | LW00005469 |
| Business Practice Address: | 1286 Mount Baker Rd Suite B208 Eastsound, WA - 982458931 |
| Business Phone Number: | 3603767119 |
| Business Fax Number: | 3603766182 |
| Mailing Address: | Po Box 1794, EASTSOUND |
| State: | WA |
| Postal Code: | 982451794 |
| Phone Number: | 3603767119 |
| Fax Number: | 3603766182 |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LW00005469 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |