Individual
DANA GRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1000 MEADOWBROOK LN, HOWE, OK 74940-2003
(918) 658-2189
Mailing address
1000 MEADOWBROOK LN, HOWE, OK 74940-2003
(918) 658-2189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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