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Individual

MS. TIFFANY B GANTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
25055 W VALLEY PKWY STE 102, OLATHE, KS 66061-8573
(785) 422-5855
Mailing address
15347 NEWTON DR, OVERLAND PARK, KS 66223-2809
(847) 363-2446

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
03496-T
KS
106H00000X
Marriage & Family Therapist
Primary
03548
KS

Other

Enumeration date
06/14/2023
Last updated
10/13/2023
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