TIFFANY DULAMAL NISWONGER

LOUISVILLE, KY
NPI1508533498
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: KY  255256)
Enumeration Date2021-08-27
Last Update Date2021-08-27
Business Address
TIFFANY DULAMAL NISWONGER LCSW
1904 EASTERN PKWY
LOUISVILLE, KY 40204-1452
Phone number: 502-694-9488
Mailing Address
TIFFANY DULAMAL NISWONGER LCSW
6705 WILD FOX LN
PROSPECT, KY 40059-9479
Phone number: 912-484-2858