Tiffany Jo Short, BA

NPI #1871331561 in Grafton, West Virginia

Provider Information

NPI Number
1871331561
Entity Type
Individual
Name
Tiffany Jo Short, BA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Early Intervention Provider Agency
Credential
BA
Enumeration Date
Jul 17, 2024
Last Updated
Sep 5, 2024

Practice Location

Address
956 YATES AVE
ZIP Code
26354-1683
Phone
(304) 290-8964

Specialties & Taxonomy Codes

Specialty
Early Intervention Provider Agency

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