Individual
ELIZABETH ANN EDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSSW
Contact information
Practice address
23 EAST ROSS STREET, SAPULPA, OK 74066
(918) 227-2016
(918) 227-1125
Mailing address
114 N GRAND AVE, STE # 418, OKMULGEE, OK 74447-4013
(918) 756-2303
(918) 756-2126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/14/2008
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