Tiffany Mae Broughton

NPI #1962127928 in Chesapeake, Ohio

Provider Information

NPI Number: 1962127928
Entity Type: Individual
Name: Tiffany Mae Broughton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Oct 11, 2022
Last Updated: Oct 11, 2022

Practice Location

Address: 609 3RD AVE
City: Chesapeake
State: Ohio
ZIP Code: 45619-1038
Phone: (740) 451-5780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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