Most Relevant Information
Provider Data
| NPI Number: | 1003534991 |
| Provider Name: | ALEXANDRIA BURTON LSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 99111782A |
Most Important Dates
| Enumeration Date: | 08/17/2022 |
| Last Updated: | 08/17/2022 |
Provider Practice Location
611 LINCOLN WAY E
SOUTH BEND
IN
466013212
Practice Location Phone/Fax
| Phone: | 5743604066 |
| Fax: |
Provider Mailing Location
611 LINCOLN WAY E
SOUTH BEND
IN
466013212
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |