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Lyle Dean Washington
Peer Specialist in Pawnee, Oklahoma
NPI 1124770813

Lyle Dean Washington is a Peer Specialist based in Pawnee, OK. Lyle Dean Washington practices in Pawnee, OK. The NPI Number for Lyle Dean Washington is 1124770813 and holds a License No. (Oklahoma).

The current practice location address for Lyle Dean Washington is 601 Park St, Pawnee, OK and can be reached out via phone at 405-564-2879.

Location: 601 Park St, Pawnee, OK, 74058-4508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124770813
Provider Name
Lyle Dean Washington
Credential
Provider Entity Type
Individual
Gender
Male
Address
601 Park St, Pawnee, OK, 74058-4508
Phone Number
405-564-2879
Fax Number
Provider Enumeration Date
01/24/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
601 Park St
City
Pawnee
State
Oklahoma
Zip
74058-4508
Phone Number
405-564-2879
Fax Number
person
Provider Business Mailing Address Details
Address
601 Park St
City
Pawnee
State
Oklahoma
Zip
74058-4508
Phone Number
405-564-2879
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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