Individual
TIFFANY NICOLE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 760-8302
Mailing address
119 S XANTHUS AVE, TULSA, OK 74104-1420
(918) 645-2985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20249-P
OK
Other
Enumeration date
02/09/2024
Last updated
03/13/2024
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