Lisa Grossenbacher, LCSW Valid NPI
Individual provider · Clinical Social Worker · Edmond, OK
- NPI
- 1013157510
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 4276 (OK)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-02-24
- Last updated
- 2023-08-07
Practice location
1603 E 19th St Ste 105
Edmond, OK 73013-6563
(405) 568-1950