Individual
MOLLIE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD HSP
Contact information
Practice address
1303 5TH ST, SUITE 202, CORALVILLE, IA 52241-2939
(319) 358-6520
Mailing address
1303 5TH ST, SUITE 202, CORALVILLE, IA 52241-2939
(319) 358-6520
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
079938
IA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
02/11/2016
Last updated
01/02/2020
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