Individual
INGRID BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 441-0886
(973) 860-1326
Mailing address
562 KINGSLAND ST, NUTLEY, NJ 07110-1069
(973) 441-0886
(973) 860-1326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05494400
NJ
Other
Enumeration date
05/07/2009
Last updated
01/28/2013
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