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Organization

LISA VAN TRIEST-PEADEN LCSW, INC., P.C.

Active
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Organization

LISA VAN TRIEST-PEADEN LCSW, INC., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA VAN TRIEST-PEADEN MSW,LCSW (PRESIDENT)
(580) 436-7120
Entity
Organization

Contact information

Practice address
2100 N BROADWAY AVE, ADA, OK 74820-1048
(580) 436-7120
Mailing address
2100 N BROADWAY AVE, ADA, OK 74820-1048
(580) 436-7120

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2965
OK

Other

Enumeration date
03/03/2008
Last updated
12/22/2008
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