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1013157510
LISA GROSSENBACHER
EDMOND, OK
NPI
1013157510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 4276)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2009-02-24
Last Update Date
2023-08-07
Business Address
LISA GROSSENBACHER LCSW
1603 E 19TH ST STE 105
EDMOND, OK 73013-6563
Phone number: 405-568-1950
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Mailing Address
LISA GROSSENBACHER LCSW
1603 E 19TH ST STE 105
EDMOND, OK 73013-6563
Phone number: 405-568-1950
Copy
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