LISA VAN TRIEST-PEADEN LCSW, INC., P.C.

ADA, OK
NPI1508036906
Entity TypeOrganization
Authorized ContactLISA VAN TRIEST-PEADEN
President
580-436-7120
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: OK  2965)
Enumeration Date2008-03-03
Last Update Date2008-12-22
Business Address
LISA VAN TRIEST-PEADEN LCSW, INC., P.C.
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
Mailing Address
LISA VAN TRIEST-PEADEN LCSW, INC., P.C.
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120