Individual
TIFFANY MARIE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2433 W HURON ST, CHICAGO, IL 60612-1684
(630) 640-6060
Mailing address
2433 W HURON ST, CHICAGO, IL 60612-1684
(630) 640-6060
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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