Individual
KATHY LOU BURGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
423 W WILL ROGERS BLVD, CLAREMORE, OK 74017-6820
(918) 342-2080
Mailing address
423 W WILL ROGERS BLVD, CLAREMORE, OK 74017-6820
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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