Phyllis Tiffany, LCSW

NPI #1104807486 in Richford, Vermont

Provider Information

NPI Number: 1104807486
Entity Type: Individual
Name: Phyllis Tiffany, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 14, 2005
Last Updated: Apr 11, 2008

Practice Location

Address: 44 MAIN ST
Address 2: SUITE 200
City: Richford
State: Vermont
ZIP Code: 05476-1153
Phone: (802) 255-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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