Individual
EMILIE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 S HIGGINS AVE, MISSOULA, MT 59801-6761
(406) 546-1745
Mailing address
1100 W KENT AVE UNIT 3351, MISSOULA, MT 59806-7134
(406) 546-1745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32067
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750844478
—
MT
Enumeration date
09/24/2018
Last updated
09/01/2020
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