Tiffany Palazzolo | |
112 N Broadway St Ste P Moore OK 73160-5127 | |
(405) 308-7444 | |
Not Available |
Full Name | Tiffany Palazzolo |
---|---|
Speciality | Marriage & Family Therapist |
Location | 112 N Broadway St Ste P, Moore, Oklahoma |
Authorized Official Name and Position | Tiffany Palazzolo (OWNER) |
Authorized Official Contact | 4053087444 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tiffany Palazzolo 112 N Broadway St Ste P Moore OK 73160-5127 Ph: (405) 308-7444 | Tiffany Palazzolo 112 N Broadway St Ste P Moore OK 73160-5127 Ph: (405) 308-7444 |
NPI Number | 1710455142 |
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Provider Enumeration Date | 11/03/2018 |
Last Update Date | 01/24/2024 |
Certification Date | 01/24/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710455142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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