Individual
DR. DENISE MICHELE LAGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
411 W CHICKASAW ST, TAHLEQUAH, OK 74464-4301
(918) 931-9600
(918) 456-8773
Mailing address
PO BOX 1247, TAHLEQUAH, OK 74465-1247
(918) 931-9600
(918) 456-8773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
04-1P
AR
103TC0700X
Clinical Psychologist
533
AK
103TC0700X
Clinical Psychologist
Primary
727
OK
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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