Individual
ANDRA ELIZABETH TIPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 N HARRISON ST, SHAWNEE, OK 74804-4022
(405) 481-7187
Mailing address
336422 E HIGHWAY 62, MCLOUD, OK 74851-8655
(405) 388-9739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2020
Last updated
04/19/2020
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