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Individual

MRS. DANA LEANN GRAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1800 N INTERSTATE DR, DILLARD EXECUTIVE SUITES, SUITE 116, NORMAN, OK 73072-2993
(405) 290-1436
(405) 290-1450
Mailing address
1800 N INTERSTATE DR, DILLARD EXECUTIVE SUITES, SUITE 116, NORMAN, OK 73072-2993
(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
08/08/2007
Last updated
03/22/2012
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