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1316070022
CAROL JEAN BURKS
GREEN BAY, WI
NPI
1316070022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WI 2997-125)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
-- CAROL JEAN BURKS MS, LPC
2301 RIVERSIDE DR SUITE 8
GREEN BAY, WI 54301-1907
Phone number: 920-430-9100
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Mailing Address
-- CAROL JEAN BURKS MS, LPC
2301 RIVERSIDE DR SUITE 8
GREEN BAY, WI 54301-1907
Phone number: 920-430-9100
Copy
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