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NPI Profile for VICKI BURGESS in FARGO, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Mental Health |
101YM0800X |
| NPI Number | 1821660556 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/13/2021 | |
| Last updated | 07/13/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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VICKI BURGESS
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VICKI BURGESS