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1508533498
TIFFANY DULAMAL NISWONGER
LOUISVILLE, KY
NPI
1508533498
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 255256)
Enumeration Date
2021-08-27
Last Update Date
2021-08-27
Business Address
TIFFANY DULAMAL NISWONGER LCSW
1904 EASTERN PKWY
LOUISVILLE, KY 40204-1452
Phone number: 502-694-9488
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Mailing Address
TIFFANY DULAMAL NISWONGER LCSW
6705 WILD FOX LN
PROSPECT, KY 40059-9479
Phone number: 912-484-2858
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