Individual
TIFFANY MARIE NEUHARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
507 VERMILLION ST, HASTINGS, MN 55033-1938
(651) 417-1614
Mailing address
507 VERMILLION ST, HASTINGS, MN 55033-1938
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2021
Last updated
04/26/2022
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