Individual
TIFFANI DILWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 E MCCAIN BLVD UNIT 15925, LITTLE ROCK, AR 72231-7729
(832) 797-8451
Mailing address
4700 E MCCAIN BLVD UNIT 15925, LITTLE ROCK, AR 72231-7729
(832) 797-8451
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6200
STATE BOARD OF PROFESSIONAL COUNSELORS & THERAPISTS
MD
Enumeration date
06/09/2010
Last updated
05/27/2024
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