NPI Profile for MIKE V BURCKHARD in MINOT, ND.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1104814789 |
|
| Status | Active | |
| Credentials | LICSW (Licensed Independent Clinical Social Worker) | |
| Entity | Individual | |
| Enumeration date | 10/08/2005 | |
| Last updated | 11/18/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MIKE V BURCKHARD
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