Individual
FAITH CELESTINA TIGAK ITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 E RUTGERS AVE, GUTHRIE, OK 73044-5718
(405) 858-1750
Mailing address
PO BOX 12978, OKLAHOMA CITY, OK 73157-2978
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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