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Individual

MRS. TIFFANY MARIE AYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1561 NEWTON AVE, BOWLING GREEN, KY 42104-3238
(270) 842-1611
(270) 842-3858
Mailing address
2468 PLUM SPRINGS RD, BOWLING GREEN, KY 42101-0722
(270) 779-5705

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-3146
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
185224
KY
Enumeration date
07/02/2007
Last updated
07/08/2007
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