Tiffany Tavares
NPI #1174930739 in Swansea, Massachusetts
Provider Information
- NPI Number
- 1174930739
- Entity Type
- Individual
- Name
- Tiffany Tavares
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Jul 16, 2014
- Last Updated
- Jul 16, 2014
Practice Location
- Address
- 463 SWANSEA MALL DR
- City
- Swansea
- State
- Massachusetts
- ZIP Code
- 02777-4119
- Phone
- (774) 488-8479
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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