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Tiffany C Chancellor, LMSW

Social Worker in Yukon, OK. Individual provider (NPI-1).

NPI number1780439679
StatusActive
Last updated in NPPESApr 23, 2024

Details

NPI
1780439679
Entity type
Individual (NPI-1)
Name
Tiffany C Chancellor
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 23, 2024
Certification date
Apr 23, 2024
Last updated
Apr 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker20628-pOKYes

Practice location

1209 Kingston Dr
Yukon, OK 73099-5413

Phone 405-593-3280

Mailing address

1209 Kingston Dr
Yukon, OK 73099-5413

Phone 405-593-3280

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