Individual
GRACE MARIE PRIETO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 E SHERIDAN AVE APT 1126, OKLAHOMA CITY, OK 73104-6704
(787) 226-6929
Mailing address
505 E SHERIDAN AVE APT 1126, OKLAHOMA CITY, OK 73104-6704
(787) 226-6929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
30276
CA
235Z00000X
Speech-Language Pathologist
4034
PR
235Z00000X
Speech-Language Pathologist
Primary
5265
OK
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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