Tiffany Dawn Holthus LMSW

NPI 1912103185 - Social Worker - 104100000X

NPI Details
NPI 1912103185
Gender Female
Enumeration Date 06/25/2007
Last Updated 04/28/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
LAWTON OK, 73505-9695, US
Phone (580) 355-5242
Fax (580) 355-5245
Business Location
PO BOX 2309
LAWTON OK, 73502-2309, US
Phone (580) 357-9984
Fax (913) 621-5730
Taxonomy Code 104100000X
License State Kansas
License Number 6345
Remove 1912103185 NPI Number

According to our database, Tiffany Dawn Holthus LMSW NPI is 1912103185, taxonomy code is 104100000X and license number is 6345, license state is located at Kansas. Tiffany Dawn Holthus LMSW physically located at 5404 Sw Lee Blvd, Lawton OK, 73505-9695. NPI Number Tiffany Dawn Holthus LMSW has the Individual type.

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1912103185 NPI number is provided on an as is basis without warranty of any kind. 1912103185 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Dawn Holthus LMSW are for informational purposes only.