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1063422475
PATRICK PHILLIP BURKE
BOISE, ID
NPI
1063422475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW 24198)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
-- PATRICK PHILLIP BURKE LCSW
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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Mailing Address
-- PATRICK PHILLIP BURKE LCSW
PO BOX 6029
BOISE, ID 83707-6029
Phone number: 208-422-1000
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