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Individual

DANIELLE BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
315 5TH AVE, FAIRBANKS, AK 99701-5025
(907) 374-7776
Mailing address
315 5TH AVE, FAIRBANKS, AK 99701-5025

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
134060
AK

Other

Enumeration date
09/12/2018
Last updated
09/12/2018
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