Individual
TIFFANY ALEXANDRA TOEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
10 HAMILTON AVE, AUBURN, NY 13021-4822
(315) 729-9399
Mailing address
10 HAMILTON AVE, AUBURN, NY 13021-4822
(315) 729-9399
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
002796
NY
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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