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1013433119
TIFFANY SHORT
LOUISA, KY
NPI
1013433119
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 256593)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-08-21
Last Update Date
2024-01-17
Business Address
TIFFANY SHORT
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
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Mailing Address
TIFFANY SHORT
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Copy
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