MRS. Charlotte Jean Burrough, LCSW

NPI #1396732194 in Ada, Oklahoma

Provider Information

NPI Number
1396732194
Entity Type
Individual
Name
MRS. Charlotte Jean Burrough, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Oct 5, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
16050 COUNTY ROAD 1565
City
Ada
ZIP Code
74820-7911
Phone
(580) 436-9099

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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