Individual
TIFFANY DENISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 MARBELLA LN APT 205, SANFORD, FL 32771-0171
(954) 661-8636
Mailing address
501 MARBELLA LN APT 205, SANFORD, FL 32771-0171
(954) 661-8636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ISW15941
FL
Other
Enumeration date
11/15/2021
Last updated
11/15/2021
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