Individual
LISA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Mailing address
624 NW 5TH ST, MOORE, OK 73160-3924
(405) 799-3379
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2384
OK
Other
Enumeration date
10/23/2019
Last updated
07/10/2025
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