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Individual

MICHELLE BARBARA BURCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLP

Contact information

Practice address
600 W 41ST AVE, SUITES 102 & 103, ANCHORAGE, AK 99503-6601
(907) 334-9002
Mailing address
PO BOX 110448, ANCHORAGE, AK 99511-0448
(907) 334-9002

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SP47561
AK
Enumeration date
02/19/2007
Last updated
08/06/2009
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