Individual
MRS. TIFFANY TRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
439 S UNION ST, LAWRENCE, MA 01843-2837
(978) 682-9222
Mailing address
111 JUDIQUE RD, TEWKSBURY, MA 01876-1380
(978) 455-4250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4974
MA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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