Individual
TIFFANY ANNETTE LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Mailing address
1100 W 21ST ST, CLOVIS, NM 88101-4151
(575) 769-2345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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