Individual
TIFFINI MARIA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3113 MCCONNELL RD, GREENSBORO, NC 27405-9611
(336) 355-7082
(336) 450-1626
Mailing address
2205 WOODLEAF RD APT 6F, SALISBURY, NC 28147-1181
(704) 919-9982
(336) 450-1626
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-041-1180
NC
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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