Individual
TIFFANY DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13735 STEELE CREEK RD, CHARLOTTE, NC 28273-6841
(704) 502-9397
Mailing address
13735 STEELE CREEK RD, CHARLOTTE, NC 28273-6841
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3584
FL
Other
Enumeration date
11/01/2019
Last updated
09/17/2020
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