Individual
MRS. LISA ANN BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
916 WILLARD DR STE 125F, GREEN BAY, WI 54304-0008
(920) 798-8480
Mailing address
916 WILLARD DR STE 125F, GREEN BAY, WI 54304-0008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6965-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40944100
—
WI
Enumeration date
01/24/2007
Last updated
09/11/2025
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