Provider Information for 1770011389
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DEBORAH TIGER LPC-C
Sex: Female
NPI: 1770011389
Last Updated: 2018-09-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1770011389 | ||||||||
| Enumeration Date | 2017-05-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1827 S 20TH ST CHICKASHA, OK 73018-5213 United States Phone: 217-721-6604 | Fax: | ||||||||
| Primary Practice Address | 117 S 7TH ST CHICKASHA, OK 73018-3301 United States Phone: 217-721-6604 | Fax: | ||||||||
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