Doctor Name: | MS. BRENDA LEE BURKE |
NPI Number: | 1417143751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW., CPM |
License Number: | 006838 |
Business Practice Address: | 720 W Main St Decorah, IA - 521011626 |
Business Phone Number: | 5633820178 |
Business Fax Number: | |
Mailing Address: | 720 W Main St, DECORAH |
State: | IA |
Postal Code: | 521011626 |
Phone Number: | 5633820178 |
Fax Number: | |
NPI Enumeration Date: | 09/20/2007 |
NPI Last Update Date: | 01/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 006838 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |