Judith Reisz Burk, LCSW
Social Worker, Clinical in Shelbyville, KY. Individual provider (NPI-1).
NPI number1124377254
StatusActive
Last updated in NPPESJan 31, 2013
Details
- NPI
- 1124377254
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Judith Reisz Burk
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2012
- Last updated
- Jan 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LCSW 0103 | KY | Yes |
Practice location
544 Main StSuite 3
Shelbyville, KY 40065-1120
Phone 502-682-7647
Mailing address
684 Ashbourne DrShelbyville, KY 40065-7394
Phone 502-682-7647
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