Individual
ELIZABETH ANN PIDCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
529 N GRAND, ENID, OK 73701
(508) 234-8880
(580) 234-8891
Mailing address
529 N GRAND, ENID, OK 73701
(508) 234-8880
(580) 234-8891
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1371
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200026330A
—
OK
Enumeration date
07/10/2006
Last updated
07/08/2007
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