Individual
CLYDEENA GAYE BURROWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC
Contact information
Practice address
16 W SENECA AVE, MCALESTER, OK 74501-6337
(918) 916-1904
Mailing address
16 W SENECA AVE, MCALESTER, OK 74501-6337
(918) 916-1904
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2753
OK
Other
Enumeration date
04/22/2013
Last updated
04/22/2013
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