Tiffani Wallace
NPI #1598378234 in Hawthorne, California
Provider Information
- NPI Number
- 1598378234
- Entity Type
- Individual
- Name
- Tiffani Wallace
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 24, 2020
- Last Updated
- Aug 27, 2020
Practice Location
- Address
- 2509 W 115TH PL
- City
- Hawthorne
- State
- California
- ZIP Code
- 90250-1968
- Phone
- (323) 961-0129
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Case Manager/Care Coordinator |
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