Individual
TIFFANY BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 TEURLINGS DR, LAFAYETTE, LA 70501-3832
(337) 889-0221
Mailing address
101 TEURLINGS DR, LAFAYETTE, LA 70501-3832
(337) 889-0221
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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