Individual
MELODY ANN GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2898 NW 31ST ST, OKLAHHOMA CITY, OK 73112
(405) 848-7555
Mailing address
2898 NW 31ST ST, OKLAHHOMA CITY, OK 73112
(405) 848-7555
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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