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Individual

TANIAH HERRON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
36609 45TH ST., SHAWNEE, OK 74804
(405) 273-1170
Mailing address
36609 45TH ST, SHAWNEE, OK 74804
(405) 273-1170

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
20259
OK

Other

Enumeration date
07/18/2023
Last updated
03/05/2025
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