Individual
ASHLEY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 7TH AVE SW, MAGEE, MS 39111
(601) 721-0080
Mailing address
300 7TH AVE SW, MAGEE, MS 39111
(601) 721-0080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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