Individual
KAITLIN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4016 WILLOW RD N, BROOKLYN PARK, MN 55443-1240
(763) 639-7474
Mailing address
4016 WILLOW RD N, BROOKLYN PARK, MN 55443-1240
(763) 639-7474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25456
MN
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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