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1396732194
CHARLOTTE JEAN BURROUGH
ADA, OK
NPI
1396732194
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 1805)
Enumeration Date
2005-10-05
Last Update Date
2007-07-08
Business Address
Mrs. CHARLOTTE JEAN BURROUGH LCSW
16050 COUNTY ROAD 1565
ADA, OK 74820-7911
Phone number: 580-436-9099
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Mailing Address
Mrs. CHARLOTTE JEAN BURROUGH LCSW
PO BOX 126
FITTSTOWN, OK 74842-0126
Phone number: 580-436-9099
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