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Individual

TIFFANY HUNNICUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
802 HIGHWAY 2 N, WILBURTON, OK 74578-3625
(918) 465-0005
(918) 465-9931
Mailing address
PO BOX 179, STIGLER, OK 74462-0179
(918) 967-3368
(918) 967-4582

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
7875
OK

Other

Enumeration date
04/17/2014
Last updated
12/18/2023
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