Individual
DONNA JEAN BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SWAA
Contact information
Practice address
1515 MAIN ST, ELMA, WA 98541
(360) 861-8710
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
(206) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SA60959686
WA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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