Individual
TIFFANY REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6049 BROADWAY, MERRILLVILLE, IN 46410
(317) 985-6413
Mailing address
6049 BROADWAY, MERRILLVILLE, IN 46410-2619
(317) 958-6413
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000000000000000000
IN
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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