MRS. Carra Lea Burrage

NPI #1427308451 in Atoka, Oklahoma

Provider Information

NPI Number: 1427308451
Entity Type: Individual
Name: MRS. Carra Lea Burrage
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Sep 18, 2012
Last Updated: Sep 18, 2012

Practice Location

Address: 1410 SOUTH GIN ROAD
City: Atoka
State: Oklahoma
ZIP Code: 74525
Phone: (580) 889-3399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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