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Individual

TIFFANY NICOLE GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4112 INNSLAKE DR, GLEN ALLEN, VA 23060-3344
(804) 621-1080
Mailing address
230 N 6TH ST UNIT 221, RICHMOND, VA 23219-1876
(757) 270-8467

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/28/2022
Last updated
10/28/2022
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