Individual
EMILY ROSE BURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 SW MADISON AVE, CORVALLIS, OR 97333-4512
(541) 974-8873
Mailing address
885 N 12TH ST, PHILOMATH, OR 97370-9309
(541) 760-7157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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