Individual
TFFANY LEIGH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 775-5513
Mailing address
105473 S 4710 RD, MULDROW, OK 74948-7219
(918) 774-5501
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
02/16/2026
Last updated
02/16/2026
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