Individual
DE'LICIA BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1716 N GLADE AVE, BETHANY, OK 73008-5419
(580) 212-7335
Mailing address
1716 NORTH GLADE AVE, BETHANY, OK 73008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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