Individual
TIFFANY SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1057 BOYNTON AVE APT 2A, BRONX, NY 10472-5761
(917) 327-1049
Mailing address
1057 BOYNTON AVE APT 2A, BRONX, NY 10472-5761
(917) 327-1049
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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