Individual
TIFFINEY EVANGELINE CHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 WEBB ST, DETROIT, MI 48206-1283
(313) 883-5614
(313) 218-5726
Mailing address
2015 WEBB ST, DETROIT, MI 48206-1283
(313) 883-5614
(313) 883-3233
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
01/19/2018
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