Individual
GRACE T CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1516 S BOSTON AVE STE 105, TULSA, OK 74119-4003
(918) 639-0763
(918) 639-0763
Mailing address
1516 S BOSTON AVE # 105, TULSA, OK 74119-4003
(918) 639-0763
(918) 639-0763
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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