Individual
MRS. TIFFANY LYNN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 MEMORIAL CIR., CLARKSVILLE, TN 37043
(931) 920-7300
Mailing address
1801 MEMORIAL CIRCLE, CLARKSVILLE, TN 37043-4539
(931) 920-7300
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
000617633
TN
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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