Individual
MRS. ANGELA KAY GRISSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASE MANAGER II
Contact information
Practice address
6712 E 480, SALINA, OK 74365-2762
(918) 434-5197
Mailing address
28232 S 547 RD, PARK HILL, OK 74451-2866
(918) 570-9246
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
03/07/2024
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