Individual
MRS. TIFFANY RAYCHELLE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW/MSW
Contact information
Practice address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
Mailing address
12005 E 470 RD, CLAREMORE, OK 74017-3737
(918) 342-0770
(918) 342-0087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
21241
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/25/2020
Last updated
04/09/2026
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