Individual
MRS. TIFFANI RICCHELE MCKNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Mailing address
3502 W NORTHSIDE DR, JACKSON, MS 39213-4454
(601) 362-5321
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
M8449
MS
1041C0700X
Clinical Social Worker
Primary
10156
TN
1041C0700X
Clinical Social Worker
C-8449
MS
Other
Enumeration date
12/17/2018
Last updated
04/27/2026
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