Individual
JODI K BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW-PIP
Contact information
Practice address
202 E ADAMS ST, RAPID CITY, SD 57701-1261
(605) 342-4789
(605) 399-0833
Mailing address
PO BOX 2813, RAPID CITY, SD 57709-2813
(605) 342-4789
(605) 399-0833
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
466017085
BLUE CROSS BLUE SHIELD
SD
05
—
466017085
—
SD
Enumeration date
11/10/2011
Last updated
11/10/2011
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