Individual
MRS. TIFFANY RACHEL BEENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
709 N EAST ST, FORT COBB, OK 73038-2403
(405) 693-5665
Mailing address
PO BOX 362, FORT COBB, OK 73038-0362
(405) 693-5665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3878
OK
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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