MRS. Anja Lee Grissom, MED & LPC

NPI #1235329699 in Konawa, Oklahoma

Provider Information

NPI Number
1235329699
Entity Type
Individual
Name
MRS. Anja Lee Grissom, MED & LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
MED & LPC
Enumeration Date
Jul 31, 2007
Last Updated
Feb 12, 2010

Practice Location

Address
527 W 3RD ST
City
Konawa
ZIP Code
74849-1415
Phone
(580) 925-3286

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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