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Individual

ALEXANDER TIFFANY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A., CDCA

Contact information

Practice address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
(419) 784-2523
Mailing address
511 PERRY ST, DEFIANCE, OH 43512-2123
(419) 782-9920
(419) 784-2523

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.163614
OH

Other

Enumeration date
03/13/2017
Last updated
06/21/2023
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