Kendra Burnside Lcsw Inc Pc | |
2100 N Broadway Ave Ada OK 74820-1048 | |
(580) 436-7120 | |
(580) 436-7121 |
Full Name | Kendra Burnside Lcsw Inc Pc |
---|---|
Speciality | Community/behavioral Health |
Location | 2100 N Broadway Ave, Ada, Oklahoma |
Authorized Official Name and Position | Kendra Burnside (LCSW) |
Authorized Official Contact | 5804367120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kendra Burnside Lcsw Inc Pc 2100 N Broadway Ave Ada OK 74820-1048 Ph: (580) 436-7120 | Kendra Burnside Lcsw Inc Pc 2100 N Broadway Ave Ada OK 74820-1048 Ph: (580) 436-7120 |
NPI Number | 1316196405 |
---|---|
Provider Enumeration Date | 09/12/2008 |
Last Update Date | 09/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316196405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCSW (Oklahoma) | Primary |
News Archive
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