Individual
TAYLOR MCKENZIE BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5107
(405) 424-7711
Mailing address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/11/2022
Last updated
10/27/2023
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