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MS. BRENDA LEE BURKE MSW., CPM

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417143751

Individual Registrant:
MS. BRENDA LEE BURKE MSW., CPM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
720 W MAIN ST  DECORAH, IA 52101-1626 US
Tel: 563-382-0178  Fax: --

Contact information for business:
720 W MAIN ST  DECORAH, IA 52101-1626 US
Tel: 563-382-0178  Fax: --

Registration Information:
NPI: 1417143751
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
IA006838
Y176B00000XOther Service Providers
Midwife
WI100-049

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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