SearchOklahoma101YA0400X

Itha Gray, ICADC

NPI 1043420227 · on the registry since 2007 · sole proprietor

Practice

Address
118 E Main St
Holdenville, OK 74848
Phone
(405) 379-5256
Organisation at this address
Oklahoma Families First Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma