Tiffany Rose Grant, LCSW

NPI #1184153504 in Ammon, Idaho

Provider Information

NPI Number: 1184153504
Entity Type: Individual
Name: Tiffany Rose Grant, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Jun 8, 2017
Last Updated: Sep 17, 2021

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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