Individual
TANITH ELIZABETH GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1129 S ASPEN AVE, BROKEN ARROW, OK 74012-4859
(918) 764-9300
(918) 764-9275
Mailing address
1129 S ASPEN AVE, BROKEN ARROW, OK 74012-4859
(918) 764-9300
(918) 764-9275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3240
OK
Other
Enumeration date
07/08/2010
Last updated
07/16/2019
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