Individual
TIFFANY DESIRE VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13301 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73120-8357
(405) 310-3262
(405) 873-6364
Mailing address
13301 N MERIDIAN AVE STE 100, OKLAHOMA CITY, OK 73120-8357
(405) 310-3262
(405) 873-6364
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8365
OK
1041C0700X
Clinical Social Worker
8365
OK
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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