Individual
MISS TANYA N HISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-3447
(580) 225-3447
Mailing address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(580) 225-3447
(580) 225-3447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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