Individual
MARYALICE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
252 JAVA ST, BROOKLYN, NY 11222-5424
(347) 952-4750
Mailing address
5263 JASMINE CIR N, SAINT PETERSBURG, FL 33714-2142
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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