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Contact Information

MICHELLE BURBANK, LCSW
1001 EDGEWOOD DR. SUITE 1
KNOX, IN46534
 Phone: 574-772-8321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MICHELLE BURBANK · (Female)

NPI Number 1013300797
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 03/05/2015
Last updated 05/10/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 34007535A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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