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Organization
THE GRIFFIN PROMISE
Active
Organization
THE GRIFFIN PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI FREDERICK (EXECUTIVE DIRECTOR)
(918) 893-3735
Entity
Organization
Contact information
Practice address
2552 E KENOSHA ST, BROKEN ARROW, OK 74014-6712
(918) 893-3735
(918) 893-3745
Mailing address
3100 S ELM PL STE A, BROKEN ARROW, OK 74012-7950
(918) 893-3735
(918) 893-3745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1239
OK
Other
Enumeration date
11/28/2017
Last updated
09/30/2025
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