DERRICK CHARLES BURCH

TULSA, OK
NPI1619221207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2012-11-03
Last Update Date2012-11-03
Business Address
DERRICK CHARLES BURCH BHRS
4112 S 130TH EAST AVE APT 714B
TULSA, OK 74134-1110
Phone number: 918-938-8712
Mailing Address
DERRICK CHARLES BURCH BHRS
4112 S 130TH EAST AVE APT 714B
TULSA, OK 74134-1110
Phone number: 918-938-8712