Individual
DEBRA BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E HOME RD, SPRINGFIELD, OH 45503
(937) 328-5308
Mailing address
525 E HOME RD, SPRINGFIELD, OH 45503-2861
(937) 328-5308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0030257
OH
Other
Enumeration date
12/19/2016
Last updated
06/28/2018
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