Individual
TIFFANY MONIQUE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3958 N 39TH ST, MILWAUKEE, WI 53216-2517
(262) 888-9934
Mailing address
6501 W FOND DU LAC AVE UNIT 18771, MILWAUKEE, WI 53218-5830
(262) 888-9934
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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