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
- City
- Grafton
- State
- West Virginia
- ZIP Code
- 26354-1683
- Phone
- (304) 290-8964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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| Clay Co. Dev |
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