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1669888178
LYDIA HARRISON
ADA, OK
NPI
1669888178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OK 201)
Enumeration Date
2014-07-03
Last Update Date
2016-11-17
Business Address
-- LYDIA HARRISON B.A., C.A.D.C.
3115 E. ARLINGTON BLVD. HEALTHY LIFESTYLES
ADA, OK 74820
Phone number: 580-332-6345
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Mailing Address
-- LYDIA HARRISON B.A., C.A.D.C.
210 E MAIN RESOURCE MANAGEMENT
ADA, OK 74820
Phone number: 580-436-7211
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