Burke, Stacey Laura
Burke, Stacey Laura is an sole proprietor health care provider with primary practice located at 4985 Lower Roswell Rd Bldg 200, Marietta GA 30068-4337. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burke, Stacey Laura can be contacted via phone (770) 598-0132.Contact Information
Primary practice address
4985 Lower Roswell Rd Bldg 200
Marietta GA 30068-4337
Phone: (770) 598-0132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005412 | Georgia |
Profile Details
| NPI number | 1861861809 |
|---|---|
| LBN Legal business name | Burke, Stacey Laura |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2015 |
| Last updated | Sep 21st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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