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Individual

TIFFANY KAMPHUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
604 SOLAREX CT UNIT 201, FREDERICK, MD 21703-8655
(301) 663-8263
Mailing address
604 SOLAREX CT UNIT 201, FREDERICK, MD 21703-8655
(301) 663-8263

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
29116
MD

Other

Enumeration date
10/21/2022
Last updated
10/21/2022
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