Individual
TIFFANY H LUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 21ST STREET ENSLEY, BIRMINGHAM, AL 35218-2963
(205) 224-4387
Mailing address
PO BOX 26302, BIRMINGHAM, AL 35260-0302
(205) 901-9055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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