Individual
TIFFANY LASHAWN KEITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAFT ASSOCIATE
Contact information
Practice address
102 DAVENTRY LN STE 5, LOUISVILLE, KY 40223-2869
(502) 817-8229
Mailing address
201 KEWANNA DR, JEFFERSONVILLE, IN 47130-4805
(812) 920-0194
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
270845
KY
Other
Enumeration date
06/21/2021
Last updated
08/10/2023
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