Individual
TIFFANY MAGNESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11212 N MAY AVE, 208, OKLAHOMA CITY, OK 73120-6336
(405) 708-6331
Mailing address
12308 BLUE SAGE RD, OKLAHOMA CITY, OK 73120-1902
(405) 831-6443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5363
OK
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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