Individual
MS. PATRICIA A BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
411 ALFRED ST, BIDDEFORD, ME 04005-3741
(207) 625-7012
Mailing address
855 POOL ST, BIDDEFORD, ME 04005-9212
(207) 625-7012
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
105393
MA
1041C0700X
Clinical Social Worker
Primary
LC3684
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017101
ANTHEM BXBS PROVIDER
ME
Enumeration date
02/21/2007
Last updated
10/10/2014
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