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Individual
JUSTIN TERRY BURKE
Active
Individual
JUSTIN TERRY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW ASSOCIATE
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC61545450
WA
104100000X
Social Worker
SC61545450
WA
171M00000X
Case Manager/Care Coordinator
SC61545450
WA
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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