Individual
MS. VIOLET MARIE BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
400 BLACKBERRY LANE, KALTAG, AK 99748-0008
(907) 534-2220
(907) 534-2236
Mailing address
PO BOX 70, KALTAG, AK 99748-0070
(907) 534-2220
(907) 534-2236
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
M.A.
AK
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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