Individual
EALISA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 COUNTY ROAD 2351, BARNSDALL, OK 74002-5174
(918) 440-6048
Mailing address
254 COUNTY ROAD 2351, BARNSDALL, OK 74002-5174
(918) 440-6048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6600
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
01/16/2013
Last updated
08/27/2020
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