Individual
MILES T BURKLOW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ED.S., LMFT
Contact information
Practice address
301 SICOMAC AVE, WYCKOFF, NJ 07481-2159
(201) 848-5800
(201) 848-5493
Mailing address
144 BELLEVIEW AVE, BUTLER, NJ 07405-1219
(973) 838-4830
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00140600
NJ
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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