Individual
MRS. TIFFANIE JUNE MYRTLE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.R.
Contact information
Practice address
3005 NW 63RD ST, OKLAHOMA CITY, OK 73116-3603
(405) 286-1696
Mailing address
3005 NW 63RD ST, OKLAHOMA CITY, OK 73116-3603
(405) 286-1696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/17/2010
Last updated
09/14/2012
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