Individual
KATHY JO GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 287-1175
(918) 287-0036
Mailing address
124 E 6TH ST, PAWHUSKA, OK 74056-4204
(918) 287-1175
(918) 287-0036
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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