| Rebecca Burgman Llc | |
|
903 Forest St Georgetown TX 78626-5523 | |
| (512) 930-8014 | |
| (512) 864-7934 |
| Full Name | Rebecca Burgman Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 903 Forest St, Georgetown, Texas |
| Authorized Official Name and Position | Rebecca Burgman (OWNER) |
| Authorized Official Contact | 5129308014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Burgman Llc 903 Forest St Georgetown TX 78626-5523 Ph: (512) 930-8014 | Rebecca Burgman Llc 903 Forest St Georgetown TX 78626-5523 Ph: (512) 930-8014 |
| NPI Number | 1134736382 |
|---|---|
| Provider Enumeration Date | 09/30/2020 |
| Last Update Date | 10/08/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134736382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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