NPI 1013377233

Justin Burgess, CSW

Practitioner Clinical Social Worker Rawlins, WY

Practice location

Address: 721 W Maple St, Rawlins, WY 82301-5447
Phone: (307) 324-7156
Fax: (307) 328-1651

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CSW-252 (WY)

Other Social Worker providers in Wyoming →

Registry record

NPI: 1013377233
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2016
Record last updated: 18 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.