Individual
MRS. EMILY ANN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
5040 N 15TH AVE, PHOENIX, AZ 85015-3328
(602) 234-7174
Mailing address
5040 N 15TH AVE, PHOENIX, AZ 85015-3328
(602) 234-7174
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
65995
TX
104100000X
Social Worker
Primary
LMSW-17738
AZ
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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