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Individual

DAVID BURKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3380 FAIRLANES AVE SW, SUITE 4, GRANDVILLE, MI 49418-1584
(616) 890-0883
Mailing address
PO BOX 1767, GRAND RAPIDS, MI 49501-1767
(616) 235-2090
(616) 235-2099

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009899
MI

Other

Enumeration date
05/17/2007
Last updated
02/11/2013
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