Individual
TIFFINY ANN KLUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 MORGANTOWN AVE, FAIRMONT, WV 26554-4335
(304) 366-5832
Mailing address
909 MORGANTOWN AVE, FAIRMONT, WV 26554-4335
(304) 366-5832
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
AP00945385
WV
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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