Individual
MS. TIFFANY JOYCE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
354 CHURCHILL CIR, STARKVILLE, MS 39759-7345
(662) 617-5404
Mailing address
354 CHURCHILL CIR, STARKVILLE, MS 39759-7345
(662) 617-5404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M7295
MS
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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