Individual
MRS. TIFFANY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4550 W BRADLEY RD, BROWN DEER, WI 53223-3713
(414) 371-1600
Mailing address
1216 N 43RD ST, MILWAUKEE, WI 53208-2721
(414) 551-9444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10873-125
WI
Other
Enumeration date
10/01/2021
Last updated
02/19/2025
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