Individual
GRACE WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2801 KENSINGTON TER, EDMOND, OK 73013-6511
(405) 924-2512
Mailing address
100 NE 4TH ST APT 2403, OKLAHOMA CITY, OK 73104-2010
(405) 924-2512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20040
OK
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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