Gradie Green
Gradie Green is a Counselor in Lawton, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
6701 SW Baywood DrLawton, OK 73505-9026
Phone: (580) 704-5521
Fax: (580) 585-4619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1992184410 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 29, 2015 |
| Last updated in NPPES | May 29, 2015 |
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