TIFFANY NICOLE PROVIDENTI

CHARLESTON, WV
NPI1073344545
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: WV  SW072417193)
Enumeration Date2024-08-08
Last Update Date2024-08-08
Business Address
TIFFANY NICOLE PROVIDENTI LGSW
1 KENTON DR
CHARLESTON, WV 25311-1256
Phone number: 503-513-3495
Mailing Address
TIFFANY NICOLE PROVIDENTI LGSW
1005 WHITE WILLOW WAY
MORGANTOWN, WV 26505-6119
Phone number: 508-663-3852
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