Individual
JANET MARIE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4200 MERIDIAN ST STE 218, BELLINGHAM, WA 98226-5546
(360) 739-1778
Mailing address
4200 MERIDIAN ST STE 218, BELLINGHAM, WA 98226-5546
(360) 739-1778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005410
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8875536
MEDICARE PTAN
WA
Enumeration date
01/25/2007
Last updated
05/08/2014
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