Lance Malloy Grace B.S. M.A.

NPI 1114258100 - Counselor - 101Y00000X

NPI Details
NPI 1114258100
Gender Male
Enumeration Date 01/15/2010
Last Updated 01/15/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
OKLAHOMA CITY OK, 73105-5104, US
Phone (405) 525-0452
Business Location
2416 NW 49TH ST
OKLAHOMA CITY OK, 73112-8323, US
Phone (405) 306-0505
Taxonomy Code 101Y00000X
License State
License Number
Remove 1114258100 NPI Number

According to our database, Mr. Lance Malloy Grace B.S. M.A. NPI is 1114258100, taxonomy code is 101Y00000X Lance Malloy Grace B.S. M.A. physically located at 4420 N Lincoln Blvd, Oklahoma City OK, 73105-5104. NPI Number Lance Malloy Grace B.S. M.A. has the Individual type.

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1114258100 NPI number is provided on an as is basis without warranty of any kind. 1114258100 is maintained by the National Plan & Provider Enumeration System. The contents of Lance Malloy Grace B.S. M.A. are for informational purposes only.