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Individual
NAOMI ALIXANDRA NICHELLE BURKE
Active
Individual
NAOMI ALIXANDRA NICHELLE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
279096
KY
1041C0700X
Clinical Social Worker
254909
KY
1041C0700X
Clinical Social Worker
Primary
257296
KY
Other
Enumeration date
09/30/2021
Last updated
08/28/2023
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