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Individual

TIFFANY MICHELLE LEWIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
435 SHADY AVE, PITTSBURGH, PA 15206-4560
(412) 363-4220
Mailing address
435 SHADY AVE, PITTSBURGH, PA 15206-4560
(412) 363-4220

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC011645
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007314100002
PA
Enumeration date
01/25/2021
Last updated
01/25/2021
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