Individual
GRANT T MUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
849 E 33RD ST, EDMOND, OK 73013-5407
(405) 888-5299
Mailing address
PO BOX 623, BETHANY, OK 73008-0623
(405) 345-6873
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6744
OK
Other
Enumeration date
03/29/2007
Last updated
05/06/2020
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