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1982055380
TIFFANY NICOLE CLARK
PHILADELPHIA, PA
NPI
1982055380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: PA MT211125)
Enumeration Date
2016-06-27
Last Update Date
2016-06-27
Business Address
-- TIFFANY NICOLE CLARK M.D.
100 E LEHIGH AVE SUITE 305B
PHILADELPHIA, PA 19125-1012
Phone number: 215-707-8483
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Mailing Address
-- TIFFANY NICOLE CLARK M.D.
946 WILLIAM PENN CT
PITTSBURGH, PA 15221-2516
Phone number: 412-390-5551
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