Individual
MISS STACEY LOREE BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2401 GILLHAM RD, CHILDREN'S MERCY HOSPITALS & CLINICS, KANSAS CITY, MO 64108-4619
(816) 234-3677
(816) 234-3291
Mailing address
305 NE 50TH CT APT 222, KANSAS CITY, MO 64118-4526
(816) 454-4411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2003009410
MO
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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