Individual
MS. TIFFANY NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHRT-C
Contact information
Practice address
518 N CLARY RD, JEFFERSON, ME 04348-4067
(207) 557-3194
(207) 549-0150
Mailing address
518 N CLARY RD, JEFFERSON, ME 04348-4067
(207) 557-3194
(207) 549-0150
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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