Individual
DONNA MARIE BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5251
(228) 809-5255
Mailing address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5251
(228) 809-5255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C6103
MS
Other
Enumeration date
10/17/2017
Last updated
03/17/2018
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