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Individual

JAYME ELIZABETH BURNETT-GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CBHCM II, CPRSS

Contact information

Practice address
207 N TAYLOR AVE, WYNNEWOOD, OK 73098-4626
(405) 207-0132
(405) 251-5017
Mailing address
207 N TAYLOR AVE, WYNNEWOOD, OK 73098-4626
(405) 207-0132
(405) 251-5017

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200507080A
OK
Enumeration date
07/11/2013
Last updated
06/23/2015
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