Most Relevant Information
Provider Data
| NPI Number: | 1003316225 |
| Provider Name: | TIFFANY GLEASON CSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 4931656-3502 |
Most Important Dates
| Enumeration Date: | 02/14/2018 |
| Last Updated: | 08/16/2023 |
Provider Practice Location
117 N. FREEMAN AVE
BOISE CITY
OK
73933
Practice Location Phone/Fax
| Phone: | 4055485778 |
| Fax: |
Provider Mailing Location
117 N. FREEMAN AVE
BOISE CITY
OK
73933
Provider Mailing Phone/Fax
| Phone: | 4055485778 |
| Fax: |