Individual
TIFFINI WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5525 OSAGE BEACH PKWY, OSAGE BEACH, MO 65065-3023
(573) 836-6706
Mailing address
3585 STATE ROAD D, CAMDENTON, MO 65020-6346
(573) 836-6706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11328
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9609
MO
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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