Individual
MRS. ASHLEIGH DAWN BURBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 S VAN BUREN ST, ENID, OK 73703-7903
(405) 230-1168
(580) 540-8966
Mailing address
4504 SANDHILL, ENID, OK 73703-2874
(316) 305-9652
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20109
OK
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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