Individual
MR. MICHAEL ANTHONY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LMSW, CCDP-D,
Contact information
Practice address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(860) 630-5346
Mailing address
883 PADDOCK AVE, MERIDEN, CT 06450-7044
(860) 630-5346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
CT
1041C0700X
Clinical Social Worker
—
CT
Other
Enumeration date
07/03/2007
Last updated
01/20/2017
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