MR. ROBERT BURNSIDE, LISW

Social Worker - Clinical

Active Individual
NPI: 1962725945

Practice Address

4800 COLLEGE BLVD
SUITE 102
Farmington, NM 87402

Phone: (505) 326-3566

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes I-05142 (NM)

Frequently Asked Questions

NPI 1962725945 is the National Provider Identifier for MR. ROBERT BURNSIDE, LISW, a Social Worker - Clinical provider located in Farmington, NM. This NPI was enumerated on March 5, 2010.
MR. ROBERT BURNSIDE, LISW practices at 4800 COLLEGE BLVD, SUITE 102, Farmington, NM 87402.

Quick Facts

NPI
1962725945
Type
Individual
Enumerated
Mar 5, 2010
Last Updated
Mar 5, 2010

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