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Organization
TIFFANY FULLER COUNSELING, LLC
Active
Organization
TIFFANY FULLER COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY LYNN FULLER LMFT (MARRIAGE AND FAMILY THERAPIST)
(405) 919-7124
Entity
Organization
Contact information
Practice address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 919-7124
Mailing address
16301 SONOMA PARK DR, EDMOND, OK 73013-2091
(405) 919-7124
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1214
OK
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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