Individual
TIFFANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6334 PETERS CREEK RD, ROANOKE, VA 24019-4024
(540) 348-4700
Mailing address
1103 NOLAN ST, FREDERICKSBURG, VA 22401-5359
(804) 252-1748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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