KENDRA BURNSIDE LCSW INC PC

ADA, OK
NPI1316196405
Entity TypeOrganization
Authorized ContactKENDRA BURNSIDE
Lcsw
580-436-7120
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OK  LCSW)
Enumeration Date2008-09-12
Last Update Date2008-09-12
Business Address
KENDRA BURNSIDE LCSW INC PC
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
Mailing Address
KENDRA BURNSIDE LCSW INC PC
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
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