Individual
TIFFANI KARRIN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 WILFORD HALL LOOP, WHASC, MH CLINIC, SAN ANTONIO, TX 78236
(207) 809-9964
Mailing address
111 LARKWOOD DR, SAN ANTONIO, TX 78209-2907
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P018971
NC
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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