Individual
GRAYSON ELAINE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7028 E 32ND ST, TULSA, OK 74145
(918) 955-3679
Mailing address
7028 E 32ND ST, TULSA, OK 74145-1215
(918) 955-3679
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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