Most Relevant Information
Provider Data
| NPI Number: | 1003020355 |
| Provider Name: | SHANNA BURKE MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
511 E COLUMBUS AVE
SPRINGFIELD
MA
011052506
Practice Location Phone/Fax
| Phone: | 4138278959 |
| Fax: | 4138277015 |
Provider Mailing Location
24 ESTHER ST
SPRINGFIELD
MA
011092626
Provider Mailing Phone/Fax
| Phone: | 4138278959 |
| Fax: | 4138277015 |