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NPI Code Detail

MEDICARE: AMY L BURRIS LCSW

MEDICARE: AMY L BURRIS LCSW
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 WorkerCSW010059GA

General Provider Information

NPI Number : 1730035254
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY L BURRIS LCSW
Provider Business Mailing Address
First Line : 1414 DUG GAP RD
Second Line :
City : DALTON
State : GA
Zip : 30720-5007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1414 DUG GAP RD
Second Line :
City : DALTON
State : GA
Zip : 30720-5007
Country : US
Telephone Number : 706-279-0405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ AMY L BURRIS LCSW” Practice Location

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