MR. Jamel Paul Grant, B.A
NPI #1285983700 in Broken Arrow, Oklahoma
Provider Information
- NPI Number
- 1285983700
- Entity Type
- Individual
- Name
- MR. Jamel Paul Grant, B.A
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Credential
- B.A
- Enumeration Date
- Aug 29, 2012
- Last Updated
- Aug 29, 2012
Practice Location
- Address
- 1531 E OMAHA ST
- Address 2
- APT B-1
- City
- Broken Arrow
- State
- Oklahoma
- ZIP Code
- 74012-0327
- Phone
- (918) 830-0840
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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