Individual
CAROLINE A BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112-2571
(651) 636-5124
Mailing address
1935 SARGENT AVE, SAINT PAUL, MN 55105-1532
(651) 808-0324
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
LP 5471
MN
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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