Individual
MRS. TIFFANY MARIE GORMANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(866) 729-4479
(501) 729-3537
Mailing address
PO BOX 8241, SEARCY, AR 72145-8241
(866) 729-4479
(501) 729-3537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1309105
AR
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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