Individual
MARY P BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2644 N 97TH ST, WAUWATOSA, WI 53226-1650
(999) 999-9999
Mailing address
2644 N 97TH ST, WAUWATOSA, WI 53226-1650
(999) 999-9999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8892-226
WI
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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