Individual
MARY BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP, BCBA
Contact information
Practice address
1925 PAULINE BLVD, SUITE B, ANN ARBOR, MI 48103-5046
(734) 709-8948
Mailing address
8015 FOREST ST, DEXTER, MI 48130-1132
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/03/2012
Last updated
02/24/2012
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