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Individual
TIFFANY P BURNHAM
Active
Individual
TIFFANY P BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
208D00000X
General Practice Physician
3002560
IL
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332U00000X
Home Delivered Meals
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
04/23/2024
Last updated
09/04/2024
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