Individual
GRACE E WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 MORRIS ST APT 10, POCOLA, OK 74902-6007
(918) 612-4049
Mailing address
605 MORRIS ST APT 10, POCOLA, OK 74902-6007
(918) 612-4049
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OK
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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