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Individual

YANIQUE BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10103 COUNT FLEET DR, RUSKIN, FL 33573-6772
(813) 540-7800
Mailing address
10103 COUNT FLEET DR, RUSKIN, FL 33573-6772
(813) 540-7800

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
106S00000X
Behavior Technician
376J00000X
Homemaker
Primary
240185
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
240185
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
08/06/2018
Last updated
09/13/2024
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