Individual
MRS. FREYA L BURKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.C.S.W., L.C.S.W.
Contact information
Practice address
111 W JEFFERSON BLVD, SOUTH BEND, IN 46601-1994
(574) 647-2624
(574) 239-6460
Mailing address
111 W JEFFERSON BLVD, SOUTH BEND, IN 46601-1994
(574) 647-2624
(574) 239-6460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34001653A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34001653A
SOCIAL WORK LICENSE
IN
Enumeration date
05/22/2007
Last updated
07/08/2007
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