Most Relevant Information
Provider Data
| NPI Number: | 1003679440 |
| Provider Name: | TIFFANY CHAPMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/30/2024 |
| Last Updated: | 01/30/2024 |
Provider Practice Location
425 BROADWAY ST
PADUCAH
KY
420010713
Practice Location Phone/Fax
| Phone: | 2704427121 |
| Fax: |
Provider Mailing Location
425 BROADWAY ST
PADUCAH
KY
420010713
Provider Mailing Phone/Fax
| Phone: | 2704427121 |
| Fax: |