Individual
AMBER BURRIS GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
711 S MUSKOGEE AVE, 2, TAHLEQUAH, OK 74464-4717
(918) 708-2119
Mailing address
711 S MUSKOGEE AVE, 2, TAHLEQUAH, OK 74464-4717
(918) 708-2119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2044
OK
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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