Most Relevant Information
Provider Data
| NPI Number: | 1003415969 |
| Provider Name: | KAITLIN BURKE LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 25456 |
Most Important Dates
| Enumeration Date: | 10/21/2020 |
| Last Updated: | 10/21/2020 |
Provider Practice Location
4016 WILLOW RD N
BROOKLYN PARK
MN
554431240
Practice Location Phone/Fax
| Phone: | 7636397474 |
| Fax: |
Provider Mailing Location
4016 WILLOW RD N
BROOKLYN PARK
MN
554431240
Provider Mailing Phone/Fax
| Phone: | 7636397474 |
| Fax: |