Individual
GRACE WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 STANTON L YOUNG BLVD, OKLAHOMA CITY, OK 73104-5036
(405) 271-5233
Mailing address
PO BOX 26901, OKLAHOMA CITY, OK 73126-0901
(405) 271-5233
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
5557-P
OK
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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