Individual
FLOYD GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
109 N FAIRLAND ST, SUITE 101, PRYOR, OK 74361-4203
(918) 825-2884
Mailing address
PO BOX 4980, TULSA, OK 74159-0980
(918) 633-8412
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1409
OK
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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