Individual
MS. JANICE MARIE BOURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10850 W PARK PL STE 100, MILWAUKEE, WI 53224
(262) 789-1191
(414) 359-1021
Mailing address
10850 W PARK PL STE 100, MILWAUKEE, WI 53224-3636
(262) 789-1191
(414) 359-1021
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
002788745
WI
1041C0700X
Clinical Social Worker
Primary
2981-123
WI
Other
Enumeration date
10/21/2006
Last updated
08/29/2018
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