Individual
KRYSTIL MIDORI BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMHCI
Contact information
Practice address
4905 LANTANA RD, LAKE WORTH, FL 33463-6915
(561) 340-7269
Mailing address
3121 VILLAGE BLVD APT 108, WEST PALM BEACH, FL 33409-7457
(803) 673-6424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
IMH24445
FL
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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