Individual
GRACE LOVELACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COMS, CTVI
Contact information
Practice address
18466 SHORT ST, SPIRO, OK 74959-5229
(817) 707-3745
Mailing address
PO BOX 213, SPIRO, OK 74959-0213
Taxonomy
Speciality
Code
Description
License number
State
225CX0006X
Orientation and Mobility Training Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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