Individual
TIFFANY MARIE DANCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 S TRAVIS ST # 309, SHERMAN, TX 75090-5990
(903) 821-8873
Mailing address
1417 BLANTON PL, SHERMAN, TX 75092-5313
(903) 821-8873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
65121
TX
Other
Enumeration date
11/22/2010
Last updated
10/26/2022
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