Provider Demographics
NPI:1629207097
Name:BURKES, JULIA DEBRA (MSW)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:DEBRA
Last Name:BURKES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10815 ROSE AVE
Mailing Address - Street 2:APT. 4
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-5321
Mailing Address - Country:US
Mailing Address - Phone:650-575-9416
Mailing Address - Fax:
Practice Address - Street 1:10815 ROSE AVE
Practice Address - Street 2:APT. 4
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-5321
Practice Address - Country:US
Practice Address - Phone:650-575-9416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical