Individual
CATHLEEN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
384 ROCKPORT DR, TROY, MO 63379
(636) 400-3906
Mailing address
384 ROCKPORT DR, TROY, MO 63379
(636) 400-3906
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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