Individual
MS. TIFFANY LADONNA MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A,M.S.W, L.S.W
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 860-2000
(814) 860-2947
Mailing address
2923 PINE AVE, ERIE, PA 16504-1153
(814) 860-2000
(814) 860-2947
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW129334
PA
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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