Graham, Vickie Roselee

Graham, Vickie Roselee is an individual health care provider with primary practice located at 1719 Sw 11Th St , Lawton OK 73501-7305. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Graham, Vickie Roselee can be contacted via phone (580) 581-1818.

Contact Information

Primary practice address
1719 Sw 11Th St Lawton OK 73501-7305
Phone: (580) 581-1818
Fax: (580) 581-1819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Oklahoma

Profile Details

NPI number 1033492020
LBN Legal business name Graham, Vickie Roselee
Credentials MSBS, MFT-US
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2011
Last updated Jun 6th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033492020 NPPES
Oklahoma MEDICAID 200392130A

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