Grace Ann Callison

NPI #1902379712 in Pryor, Oklahoma

Provider Information

NPI Number: 1902379712
Entity Type: Individual
Name: Grace Ann Callison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 3, 2019
Last Updated: Jan 22, 2019

Practice Location

Address: 109 N FAIRLAND ST
City: Pryor
State: Oklahoma
ZIP Code: 74361
Phone: (918) 825-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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