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General NPI Number Information
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NPI Number | 1437958311
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Entity Type | Organization
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Legal Business Name | JULIA S. BURNETT, LCSW, LLC
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 4836 MAIN ST
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City | MOSS POINT
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State | MS
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Zip | 39563-2700
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Country | US
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Telephone | 662-267-6828
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Fax |
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Provider Business Mailing Address
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Address Line | 162 CONWAY DR W
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City | MOBILE
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State | AL
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Zip | 36608-1741
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIA BURNETT
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Credential |
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Telephone | 662-267-6828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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