Individual
MRS. TIFFANY WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 CAPITOL DR, EDMOND, OK 73003-5068
(405) 535-3372
Mailing address
1225 CAPITOL DR, EDMOND, OK 73003-5068
(405) 535-3372
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27-5161815
—
OK
Enumeration date
05/02/2012
Last updated
05/02/2012
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