Individual
TIFFANY GAYLE PHILPOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LHCA, CCM,
Contact information
Practice address
469851 E 1101 RD, MULDROW, OK 74948-7703
(918) 775-0250
(918) 775-6587
Mailing address
469851 E 1101 RD, MULDROW, OK 74948-7703
(918) 775-0250
(918) 775-6587
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/12/2014
Last updated
06/12/2014
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