Tiffany Blake, LMSW

NPI #1720530413 in Osceola, Arkansas

Provider Information

NPI Number: 1720530413
Entity Type: Individual
Name: Tiffany Blake, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Oct 27, 2016
Last Updated: Feb 10, 2023

Practice Location

Address: 1487 W KEISER AVE STE 1
City: Osceola
State: Arkansas
ZIP Code: 72370-2806
Phone: (870) 563-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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