Individual
TIFFANY ANNETTE CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
3715 N BUSINESS DR STE 104, FAYETTEVILLE, AR 72703-5287
(479) 521-1532
(479) 521-9940
Mailing address
2153 E JOYCE BLVD STE 201, FAYETTEVILLE, AR 72703-5285
(479) 575-9471
(479) 587-9392
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9605-M
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231146795
—
AR
Enumeration date
05/09/2018
Last updated
06/30/2020
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