Individual
TIFFANY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
420 FARRS CT, APT 23, COLORADO SPRINGS, CO 80903-3160
(719) 644-6016
Mailing address
420 FARRS CT, APT 23, COLORADO SPRINGS, CO 80903-3160
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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