Organization
DANA L. GRAHAM LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA L GRAHAM (OWNER)
(405) 290-1436
Entity
Organization
Contact information
Practice address
1800 N INTERSTATE DR STE 116, DILLARD GROUP EXECUTIVE SUITES, NORMAN, OK 73072-2995
(405) 290-1436
(405) 290-1450
Mailing address
1800 N INTERSTATE DR STE 116, DILLARD GROUP EXECUTIVE SUITES, NORMAN, OK 73072-2995
(405) 290-1436
(405) 290-1450
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1946
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100716710A
—
OK
Enumeration date
02/03/2012
Last updated
02/03/2012
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