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NPI Code Detail

MEDICARE: MR. LORIN BURGESS LMSW

MEDICARE: MR. LORIN BURGESS LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6801070496MI

General Provider Information

NPI Number : 1225123094
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LORIN BURGESS LMSW
Provider Business Mailing Address
First Line : 4925 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1521
Country : US
Telephone Number : 734-971-9781
Fax Number : 734-971-2730
Provider Business Practice Location Address
First Line : 4925 PACKARD ST
Second Line :
City : ANN ARBOR
State : MI
Zip : 48108-1521
Country : US
Telephone Number : 734-971-9781
Fax Number : 734-971-2730
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 09/06/2023

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1356292783 — AMANDA LOUSIE GODDARD LLMSW
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1760449243 — LIZBETH ANN BORENER LMSW
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1457467508 — MR. ROBERT CHARLES HOPKINS LMSW
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4925 PACKARD ST
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48108-1521
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1114017027 — JESSICA LYNN GOUIN MSW
Practice Location Address:
4925 PACKARD ST
ANN ARBOR, MI
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1821161639 — CHARLLA ALLEN LMSW
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Directions to “ MR. LORIN BURGESS LMSW” Practice Location

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