Tiffany Richardson

NPI #1467912345 in Gary, Indiana

Provider Information

NPI Number: 1467912345
Entity Type: Individual
Name: Tiffany Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Mar 25, 2019
Last Updated: Mar 25, 2019

Practice Location

Address: 1100 W 6TH AVE
City: Gary
State: Indiana
ZIP Code: 46402-1711
Phone: (219) 885-4264

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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