LISA ELLEDGE

CLEVELAND, OK
NPI1114124419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: OK  1742)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
LISA ELLEDGE LCSW
1401 W PAWNEE ST
CLEVELAND, OK 74020-3033
Phone number: 918-358-2501
Mailing Address
LISA ELLEDGE LCSW
RR 2 BOX 435G
CLEVELAND, OK 74020-9671
Phone number: 918-358-5366
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