Individual
MS. TIFFANI RENE SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6330 N FIR RD, GRANGER, IN 46530-4753
(574) 977-8035
Mailing address
1762 CARLISLE DR, SAINT JOSEPH, MI 49085-8669
(742) 150-2355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007968A
IN
Other
Enumeration date
10/13/2022
Last updated
01/27/2023
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