Individual
MRS. TIFFANY BROOKE RALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4868 HIGH CROSSING BLVD, MADISON, WI 53704-7403
(608) 274-8294
(608) 274-8783
Mailing address
925 KEENAN LN, STOUGHTON, WI 53589-1015
(608) 609-4766
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7939-125
WI
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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