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Allie Grantham, MHR, LPC, CADC

NPI 1447388178 · on the registry since 2007

Practice

Address
529 N Oak Ave
Tahlequah, OK 74464
Phone
(918) 444-2126
Fax
(918) 458-2300

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Also registered as
101YA0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-16

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