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Organization
TRICIA BURKE, LLC
Active
Organization
TRICIA BURKE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA BURKE LCSW, LCSW-C, LICSW (OWNER/PRIVATE PRACTICE THERAPIST)
(808) 341-4742
Entity
Organization
Contact information
Practice address
1187 SAINT GEORGE DR, ANNAPOLIS, MD 21409-5039
(808) 341-4742
Mailing address
1187 SAINT GEORGE DR, ANNAPOLIS, MD 21409-5039
(808) 341-4742
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871503367
TYPE 2 NPI
—
Enumeration date
01/24/2023
Last updated
01/24/2023
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