TIFFANY JO SHORT

GRAFTON, WV
NPI1871331561
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy252Y00000X Early Intervention Provider Agency
Enumeration Date2024-07-17
Last Update Date2024-09-05
Business Address
TIFFANY JO SHORT BA
956 YATES AVE
GRAFTON, WV 26354-1683
Phone number: 304-290-8964
Mailing Address
TIFFANY JO SHORT BA
222 TALL TIMBER LN
CLARKSBURG, WV 26301-5746
Phone number: 304-997-3442
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