Individual
MS. DIANE ARNOLD BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34002013A
IN
106H00000X
Marriage & Family Therapist
35000741A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222728
ANTHEM PPO, TRADITIONAL
IN
05
—
100177270
—
IN
01
—
292726000
MAGELLAN
IN
01
—
7437447
AETNA
IN
Enumeration date
07/21/2006
Last updated
05/06/2008
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