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Individual

KATIE BURK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
1719 SW 11TH ST, LAWTON, OK 73501-7305
(580) 581-1818
(580) 581-1819
Mailing address
PO BOX 662, PURCELL, OK 73080-0662
(405) 527-1785
(405) 527-1084

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3369
OK

Other

Enumeration date
06/14/2006
Last updated
07/08/2007
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