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Individual

MS. LINDA LEE BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LCSW

Contact information

Practice address
115 RED FOX CT UNIT 102, BRADENTON, FL 34212-7022
(941) 962-6878
Mailing address
PO BOX 1059, ONECO, FL 34264-1059
(941) 962-6878

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW7203
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
766044800
FL
01
Z081XZ
MEDICARE PROVIDER NUMBER
FL
Enumeration date
12/20/2005
Last updated
06/11/2024
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