Most Relevant Information
Provider Data
| NPI Number: | 1003030214 |
| Provider Name: | GRACE DANIEL JOY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | NONE |
Most Important Dates
| Enumeration Date: | 04/12/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
15 E DEWEY AVE
SAPULPA
OK
740664201
Practice Location Phone/Fax
| Phone: | 9182272016 |
| Fax: | 9182271125 |
Provider Mailing Location
15 E DEWEY AVE
SAPULPA
OK
740664201
Provider Mailing Phone/Fax
| Phone: | 9182272016 |
| Fax: | 9182271125 |