Tiffany Lee Ann Van Sickle, B.S.

NPI #1235548108 in Moab, Utah

Provider Information

NPI Number: 1235548108
Entity Type: Individual
Name: Tiffany Lee Ann Van Sickle, B.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: B.S.
Enumeration Date: Aug 5, 2014
Last Updated: Aug 5, 2014

Practice Location

Address: 198 E CENTER ST.
City: Moab
State: Utah
ZIP Code: 84532
Phone: (435) 259-6131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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