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Contact Information

CARRIE A BURRIS, LICSW
24 W RAILROAD AVE SUITE 16
RAY, ND58849
 Phone: 701-568-5600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for CARRIE A BURRIS · (Female)

NPI # 1053758300
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 05/28/2013
Last updated 05/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # LCSW-35774
  • ND License # 5619
  • ID Other LCSW-35774 ID BUREAU OF OCCUPATIONAL LICENSES
  • ND Other 5619 ND BOARD OF SW EXAMINERS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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