Tiffany A Wild
NPI #1578393278 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1578393278
- Entity Type
- Individual
- Name
- Tiffany A Wild
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Aug 6, 2024
- Last Updated
- Aug 6, 2024
Practice Location
- Address
- 15455 CONWAY RD STE 117
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-2022
- Phone
- (636) 466-3077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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