Lily Grace Southern
Lily Grace Southern is a Case Manager/Care Coordinator in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2020.
- Licensed in
- OK
- In the registry since
- 2020
Practice location Address checks out
16414 W 760 RdTahlequah, OK 74464-1675
Phone: (918) 708-9009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (OK) |
|---|
Record details
| NPI number | 1447854260 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 23, 2020 |
| Last updated in NPPES | November 23, 2020 |
| Certification date | November 23, 2020 |
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