RANDY SCOTT BURKE

JACKSON, MS
NPI1336173905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TA0400X Psychologist Addiction (Substance Use Disorder)
(Licence: MS  40-13)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
DR. RANDY SCOTT BURKE PH.D.
1500 EAST WOODROW WILSON DRIVE ADDICTIVE DISORDERS TREATMENT PROGRAM (116A4), VAMC
JACKSON, MS 39216
Phone number: 601-362-4471
Mailing Address
DR. RANDY SCOTT BURKE PH.D.
409 PROVISION PKWY
BRANDON, MS 39042-7909
Phone number: 601-362-4471
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