Individual
MRS. HARRIET ANITA BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHPP
Contact information
Practice address
1269 CALIFORNIA AVE SW, CAMDEN, AR 71701-5313
(870) 836-6468
Mailing address
1002 AUSTIN ST, CAMDEN, AR 71701-7217
(870) 837-1495
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
MENTAL HEALTH PARAPROFES
AR
Enumeration date
01/18/2008
Last updated
01/18/2008
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