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Individual

MS. DONETTA DESSIREE BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0912
Mailing address
1027 COUNTRYSIDE DR, CEDAR HILL, TX 75104-5529
(410) 736-2618

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
52166
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
52166
SOCIAL WORK LICENSE
TX
Enumeration date
08/25/2007
Last updated
06/05/2012
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