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1417220161
LORI MICHELLE BURKETT
SAN ANTONIO, TX
NPI
1417220161
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Former Name
LORI MICHELLE ORTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor Professional
(Licence: TX 63052)
Enumeration Date
2012-02-10
Last Update Date
2022-07-21
Business Address
LORI MICHELLE BURKETT MA LPC-S NCC
510 MED CT STE 106
SAN ANTONIO, TX 78258-3483
Phone number: 210-495-0675
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Mailing Address
LORI MICHELLE BURKETT MA LPC-S NCC
510 MED CT STE 106
SAN ANTONIO, TX 78258-3483
Phone number: 210-495-0675
Copy
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