Individual
NELDA BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
485 MARIA DR, PLYMOUTH, MI 48170-1805
(734) 404-6006
Mailing address
485 MARIA DR, PLYMOUTH, MI 48170-1805
(734) 404-6006
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
680-206-8576
MI
Other
Enumeration date
05/30/2014
Last updated
05/30/2014
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