Individual
AMY BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
65151 SMOKEY RIDGE RD, BEND, OR 97703-9266
(458) 202-6706
Mailing address
65151 SMOKEY RIDGE RD, BEND, OR 97703-9266
(541) 389-3975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6824
OR
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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