Individual
KIM DENISE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW UNDER SUP
Contact information
Practice address
103 N 3RD AVE, DURANT, OK 74701-4700
(580) 745-9276
(580) 920-9056
Mailing address
107 S HIGH ST, ANTLERS, OK 74523-3818
(580) 298-2830
(580) 298-6723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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