Provider Demographics
NPI:1649596040
Name:BURROWS, JUDITH (LICSW)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:BURROWS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 BAKER AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2100
Mailing Address - Country:US
Mailing Address - Phone:781-254-6761
Mailing Address - Fax:
Practice Address - Street 1:336 BAKER AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2100
Practice Address - Country:US
Practice Address - Phone:781-254-6761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10220371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical