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NPI Code Detail

MEDICARE: DEBRAH LEIGH BURDEN

MEDICARE: DEBRAH LEIGH BURDEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1265955165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRAH LEIGH BURDEN
Provider Business Mailing Address
First Line : 11957 COUNTY ROAD 3568
Second Line :
City : ADA
State : OK
Zip : 74820-4963
Country : US
Telephone Number : 580-665-5605
Fax Number :
Provider Business Practice Location Address
First Line : 314 S BROADWAY AVE STE 106
Second Line :
City : ADA
State : OK
Zip : 74820-5818
Country : US
Telephone Number : 580-235-0210
Fax Number : 580-235-0211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2017
Last Update Date : 07/23/2017

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Directions to “ DEBRAH LEIGH BURDEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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