Individual
MICHELE D BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,LSCSW
Contact information
Practice address
10100 W 87TH ST STE 207, OVERLAND PARK, KS 66212-4628
(816) 260-6607
Mailing address
11598 S. LONGVIEW ST., OLATHE, KS 66061-5678
(816) 260-6607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
005973
MO
1041C0700X
Clinical Social Worker
Primary
1791
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200428130A
—
KS
05
—
200428130D
—
KS
05
—
497573006
—
MO
Enumeration date
01/16/2006
Last updated
03/30/2015
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