Individual
TIFFANY NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 DONALD AVE, INDEPENDENCE, KS 67301-2001
(620) 332-5195
Mailing address
1101 DONALD AVE, INDEPENDENCE, KS 67301-2001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2358
KS
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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