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Individual

JOHN ANTHONY GRIDER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., LPC

Contact information

Practice address
2227 W LINDSEY ST STE 1550, NORMAN, OK 73069-4053
(405) 360-2133
Mailing address
3604 CHATHAM CT, NORMAN, OK 73072-4228

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
289
OK

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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