Individual
TIFFANY RENEE MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
510 S GAY ST, WEST LAFAYETTE, OH 43845-1440
(740) 610-6955
Mailing address
510 S GAY ST, WEST LAFAYETTE, OH 43845-1440
(740) 610-6955
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
OH
343900000X
Non-emergency Medical Transport (VAN)
—
OH
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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