Individual
JADE A BURDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
1101 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1302
(918) 628-2558
Mailing address
23300 FERGUSON RD, HASKELL, OK 74436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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