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Individual

TIFANIE COTTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006
Mailing address
7908 NW 23RD ST, BETHANY, OK 73008-4950
(405) 440-1006

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
7390-P
OK
1041C0700X
Clinical Social Worker
Primary
8987
OK

Other

Enumeration date
07/01/2020
Last updated
09/02/2025
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