Individual
MS. LISA PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 HUGHES DR, POTEAU, OK 74953-5437
(918) 647-7780
Mailing address
407 HUGHES DR, POTEAU, OK 74953-5437
(918) 647-7780
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
205606
OK
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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