Individual
BURKE LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
BLDG. 4066, 602ND STREET, FORT WAINWRIGHT, AK 99703
(907) 361-6055
Mailing address
MCUC BH-W, 1060 GAFFNEY ROAD, STOP #7420, FORT WAINWRIGHT, AK 99703
(907) 361-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005037495
MO
1041C0700X
Clinical Social Worker
5822
KS
Other
Enumeration date
12/14/2006
Last updated
05/30/2024
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