Individual
TIFFANY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N WILLIAMS INDUSTRIAL DR, PITTSFIELD, IL 62363-1300
(217) 285-4436
(217) 285-2804
Mailing address
700 SE CROSS ST, MOUNT STERLING, IL 62353-1561
(217) 773-3325
(217) 773-2425
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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