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1043557671
EALISA ADAMS
BARNSDALL, OK
NPI
1043557671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OK 6600)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2013-01-16
Last Update Date
2020-08-27
Business Address
EALISA ADAMS
254 COUNTY ROAD 2351
BARNSDALL, OK 74002-5174
Phone number: 918-440-6048
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Mailing Address
EALISA ADAMS
254 COUNTY ROAD 2351
BARNSDALL, OK 74002-5174
Phone number: 918-440-6048
Copy
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