Individual
MRS. TERESA LYNN WALDROP BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MT-BC
Contact information
Practice address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6018
(918) 872-9777
(918) 872-9779
Mailing address
8937 S GARNETT RD, BROKEN ARROW, OK 74012-6018
(918) 872-9777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1542
OK
225A00000X
Music Therapist
00810
OK
Other
Enumeration date
06/27/2006
Last updated
06/19/2024
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