Individual
MRS. HILLARY BETH GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
416 SW 79TH ST, STE. 201, OKLAHOMA CITY, OK 73139-8121
(405) 246-5433
Mailing address
2728 NW 26TH ST, OKLAHOMA CITY, OK 73107-2234
(405) 209-1276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3530
OK
Other
Enumeration date
01/06/2010
Last updated
01/06/2010
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