Individual
MR. EMANUEL MOSES GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 W WILSHIRE BLVD STE A, OKLAHOMA CITY, OK 73116-7754
(405) 286-3900
(405) 286-3911
Mailing address
245 W WILSHIRE BLVD STE A, OKLAHOMA CITY, OK 73116-7754
(405) 286-3900
(405) 286-3911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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