Individual
JEREMY BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, CDCA, LLBSW
Contact information
Practice address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 871-1523
Mailing address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 871-1523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802090717
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2389
—
MI
Enumeration date
02/21/2020
Last updated
02/21/2020
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