TIFFANY RUSSELL

NILES, MI
NPI1992150742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6801106156)
Enumeration Date2016-04-29
Last Update Date2020-03-04
Business Address
TIFFANY RUSSELL LMSW
210 E MAIN ST STE 16
NILES, MI 49120-2376
Phone number: 574-323-6996
Mailing Address
TIFFANY RUSSELL LMSW
78 SUNSET LN
NILES, MI 49120-9344
Phone number: