Individual
TIFFANIE WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Mailing address
5310 E 31ST ST, TULSA, OK 74135-5012
(918) 600-3100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/09/2015
Last updated
12/17/2023
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