Individual
TIFFANY HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 PIEDMONT DR, MANSFIELD, TX 76063-6046
(318) 426-7145
Mailing address
1502 PIEDMONT DR, MANSFIELD, TX 76063-6046
(318) 426-7145
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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