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Organization
RENEE K BURKE PHD PLLC
Active
Organization
RENEE K BURKE PHD PLLC
Active
Other names
The Centering Space: Child & Family Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE BURKE PHD (OWNER)
(801) 618-7443
Entity
Organization
Contact information
Practice address
4527 S 2300 E STE 206, SALT LAKE CITY, UT 84117-4501
(801) 618-7443
Mailing address
4527 S 2300 E STE 206, SALT LAKE CITY, UT 84117-4501
(801) 618-7443
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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