Individual
CAROLYN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2436 S MAPLE AVE, BROKEN ARROW, OK 74012-6898
(918) 269-0548
(918) 806-1136
Mailing address
2436 S MAPLE AVE, BROKEN ARROW, OK 74012-6898
(918) 269-0548
(918) 806-1136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3917-P
OK
Other
Enumeration date
02/11/2010
Last updated
04/13/2016
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