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General NPI Number Information
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NPI Number | 1205010915
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Entity Type | Organization
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Legal Business Name | TRINNA L.W. BURROWS, LSW, ACSW
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 2121 S COLUMBIA AVE SUITE 420
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City | TULSA
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State | OK
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Zip | 74114-3505
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Country | US
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Telephone | 918-743-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 S COLUMBIA AVE SUITE 420
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City | TULSA
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State | OK
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Zip | 74114-3505
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Country | US
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Telephone | 918-743-9559
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. TRINNA L.W. BURROWS
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Credential | LCSW
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Telephone | 918-743-9559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1304
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License Number State | OK
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