Individual
TIFFANY CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3191
(607) 753-0234
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
118752
NY
1041C0700X
Clinical Social Worker
MC19114
ME
Other
Enumeration date
10/06/2020
Last updated
02/02/2023
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