Individual
JOYCE GRISHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 W GENTRY AVE, CHECOTAH, OK 74426-2439
(918) 360-3492
Mailing address
PO BOX 905, CHECOTAH, OK 74426-0905
(918) 360-3492
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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