LISA VANTRIEST-PEADEN

ADA, OK
NPI1568498467
Former NameLISA VANTRIEST
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OK  2965)
Enumeration Date2006-06-23
Last Update Date2008-12-22
Business Address
Mrs. LISA VANTRIEST-PEADEN LCSW
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
Mailing Address
Mrs. LISA VANTRIEST-PEADEN LCSW
2100 N BROADWAY AVE
ADA, OK 74820-1048
Phone number: 580-436-7120
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