Kendra Burnside Lcsw INC PC

NPI #1316196405 in Ada, Oklahoma

Provider Information

NPI Number
1316196405
Entity Type
Organization
Organization Name
Kendra Burnside Lcsw INC PC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 12, 2008
Last Updated
Sep 12, 2008

Practice Location

Address
2100 N BROADWAY AVE
City
Ada
ZIP Code
74820-1048
Phone
(580) 436-7120

Authorized Official

Name
MRS. KENDRA BURNSIDE, LCSW
Title
LCSW
Phone
(580) 436-7120

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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