Individual
TIFFANY TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 E 4TH ST, CHANDLER, OK 74834-2225
(405) 834-5285
(405) 258-4040
Mailing address
337 MARSHALL DR, CHANDLER, OK 74834-1823
(405) 834-5285
(405) 258-4040
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/02/2014
Last updated
03/02/2014
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