Individual
MRS. LISA HEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1916 PAMELA LN, WEATHERFORD, OK 73096-2333
(580) 774-8539
Mailing address
1916 PAMELA LN, WEATHERFORD, OK 73096-2333
(580) 774-8539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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