Female

Michaeline Burke LCSW

Clinical Social Worker in Fargo, ND(View on Map)

Full Name

Michaeline Burke LCSW

NPI Number

1417378068

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/30/2013

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Minnesota
North Dakota

License Number

22925
4996

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 2168
801 BROADWAY N

City

Fargo
Fargo

State

ND
ND

Postal Code

58107-2168
58102-3641

Country

US
US

Telephone Number

(701) 234-2119
(701) 234-2525

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2014

Provider Address

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