Doctor Name: | MRS. ELIZABETH ANN BURCH |
NPI Number: | 1699926642 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P-LCSW |
License Number: | P004653 |
Business Practice Address: | 140 Main Street Prospect Hill, NC - 27314 |
Business Phone Number: | 3365623311 |
Business Fax Number: | 3365624444 |
Mailing Address: | 140 Main Street, Po Box 4 PROSPECT HILL |
State: | NC |
Postal Code: | 27314 |
Phone Number: | 3365623311 |
Fax Number: | 3365624444 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | P004653 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |