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Individual
THERESA (TERRY) BURKE
Active
Individual
THERESA (TERRY) BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7069
OR
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500724669
—
OR
Enumeration date
02/15/2017
Last updated
09/02/2026
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