Individual
TIFFANY GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
206 S MILL ST, ELDON, MO 65026
(888) 403-1071
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2014041546
MO
Other
Enumeration date
05/16/2017
Last updated
09/26/2019
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