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1023448875
TIFFANY LANDIS
CLAREMORE, OK
NPI
1023448875
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OK 7155)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2013-11-14
Last Update Date
2023-09-25
Business Address
TIFFANY LANDIS
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-619-2557
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Mailing Address
TIFFANY LANDIS
12005 E 470 RD
CLAREMORE, OK 74017-3737
Phone number: 918-619-2557
Copy
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