Most Relevant Information
Provider Data
| NPI Number: | 1003685603 |
| Provider Name: | KIMBERLY ALANA BURWASH ACSW #106839 |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/22/2023 |
| Last Updated: | 09/17/2024 |
Provider Practice Location
475 CARMEL AVE
MARINA
CA
939333437
Practice Location Phone/Fax
| Phone: | 7013307493 |
| Fax: |
Provider Mailing Location
475 CARMEL AVE
MARINA
CA
939333437
Provider Mailing Phone/Fax
| Phone: | 7013307493 |
| Fax: |