Wilson, Tiffany

Wilson, Tiffany is an sole proprietor health care provider with primary practice located at 1068 Sw Placetas Ave , Port Saint Lucie FL 34953-3478. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wilson, Tiffany can be contacted via phone (772) 579-7918.

Contact Information

Primary practice address
1068 Sw Placetas Ave Port Saint Lucie FL 34953-3478
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1871871095
LBN Legal business name Wilson, Tiffany
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2011
Last updated Jul 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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