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1508036906
LISA VAN TRIEST-PEADEN LCSW, INC., P.C.
ADA, OK
NPI
1508036906
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Entity Type
Organization
Authorized Contact
LISA VAN TRIEST-PEADEN
President
580-436-7120
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: OK 2965)
Enumeration Date
2008-03-03
Last Update Date
2008-12-22
Business Address
LISA VAN TRIEST-PEADEN LCSW, INC., P.C.
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
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Mailing Address
LISA VAN TRIEST-PEADEN LCSW, INC., P.C.
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
Copy
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