Individual
TIFFANY POORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
421 PINE LAKES LN, ROCKFORD, TN 37853-3201
(865) 250-0679
Mailing address
421 PINE LAKES LN, ROCKFORD, TN 37853-3201
(865) 250-0679
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4773
TN
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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