Individual
GRACE OLULOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2740 E 41ST ST N, TULSA, OK 74110-1432
(865) 221-5489
Mailing address
130 N GREENWOOD AVE STE 302, TULSA, OK 74120-1446
(918) 599-7277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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