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Individual

TIFFANY SMALLS-WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
750 TILDEN ST, BRONX, NY 10467-6013
(718) 231-3400
(718) 655-3503
Mailing address
750 TILDEN ST, BRONX, NY 10467-6013
(718) 231-3400
(718) 655-3503

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001167
NY

Other

Enumeration date
10/14/2015
Last updated
10/14/2015
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