Individual
MS. TIFFANY JO TOMASO-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
109 N FAIRLAND ST., PRYOR, OK 74361-4203
(918) 629-3533
Mailing address
109 N FAIRLAND ST., PRYOR, OK 74361-4203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8089
OK
1041C0700X
Clinical Social Worker
CSW.00000521
CO
Other
Enumeration date
07/31/2006
Last updated
08/22/2022
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