Lisa Elledge, LCSW

NPI #1114124419 in Cleveland, Oklahoma

Provider Information

NPI Number
1114124419
Entity Type
Individual
Name
Lisa Elledge, LCSW
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1401 W PAWNEE ST
ZIP Code
74020-3033
Phone
(918) 358-2501

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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