Organization
LISA SEABRIDGE, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN SEABRIDGE LCSW (OWNER)
(580) 401-2054
Entity
Organization
Contact information
Practice address
1705 EL CAMINO ST, PONCA CITY, OK 74604-3804
(580) 401-2054
(580) 401-2054
Mailing address
1705 EL CAMINO ST, PONCA CITY, OK 74604-3804
(580) 401-2054
(580) 401-2054
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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