Provider Information for 1003312406
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TIFFANNI STARLING LCMHC/LCAS
Sex: Female
NPI: 1003312406
Last Updated: 2024-07-14
Certification Date: 2024-07-14
Certification Date: 2024-07-14
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1003312406 | ||||||||||||||||||||
| Enumeration Date | 2018-04-04 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | YES | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | PO BOX 77264 GREENSBORO, NC 27417-7264 United States Phone: 336-510-4441 | Fax: | ||||||||||||||||||||
| Primary Practice Address | 2706 N CHURCH ST GREENSBORO, NC 27405 United States Phone: 336-272-9990 | Fax: | ||||||||||||||||||||
| Secondary Practice Address(es) | 3409 W WENDOVER AVE STE I | ||||||||||||||||||||
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