Organization
DEVELOPMENTAL & THERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE GRANT PHD, LPC (LICENSED PROFESSIONAL COUNSELOR)
(918) 622-4841
Entity
Organization
Contact information
Practice address
2326 S GARNETT RD, STE G, TULSA, OK 74129-5121
(918) 622-4841
(918) 622-4898
Mailing address
2326 S GARNETT RD, STE G, TULSA, OK 74129-5121
(918) 622-4841
(918) 622-4898
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4651
OK
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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