Individual
MS. TIFFANY MAKEBA OUTERBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
111.5 RICHARDSON HWY, GLENNALLEN, AK 99588
(907) 822-5241
Mailing address
111.5 RICHARDSON HWY, PO BOX 383, GLENNALLEN, AK 99588
(907) 822-5241
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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