Individual
MS. TIFFANY J DUPONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
200 PRUSHNOK DRIVE, PUNXSUTAWNEY, PA 15767-2344
(814) 938-4444
(814) 938-3313
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 465-6379
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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