Individual
MR. PATRICK LYLE GROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
932 NORTH FLOOD AVE., NORMAN, OK 73069-6218
(405) 321-3719
(405) 364-3209
Mailing address
221 MILLBURY RD, NORMAN, OK 73071-7172
(405) 447-8085
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1331
OK
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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