MS. Tiffany Derby Kallhovd, LMSW, CASAC

NPI #1740514272 in Sunnyside, New York

Provider Information

NPI Number
1740514272
Entity Type
Individual
Name
MS. Tiffany Derby Kallhovd, LMSW, CASAC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW, CASAC
Enumeration Date
Oct 1, 2009
Last Updated
Apr 1, 2010

Practice Location

Address
4519 42ND ST
Address 2
APT 4A
ZIP Code
11104-2974
Phone
(631) 445-8875

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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