Individual
TERRICA DUNCAN GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
90 N 31ST ST, CLINTON, OK 73601-9116
(580) 323-6021
Mailing address
1609 CHISHOLM TRL, WEATHERFORD, OK 73096-2342
(580) 774-1221
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
674
OK
Other
Enumeration date
06/13/2011
Last updated
06/13/2011
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