Individual
MS. STEPHANIE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
104 CRYSTAL LN, SELINSGROVE, PA 17870-9356
(570) 743-3604
Mailing address
104 CRYSTAL LN, SELINSGROVE, PA 17870-9356
(570) 743-3604
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW012014L
PA
Other
Enumeration date
11/21/2010
Last updated
11/21/2010
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