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1114107455
TIFFANY S GRANT
NORTHPORT, NY
NPI
1114107455
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY 075989-1)
Enumeration Date
2007-11-03
Last Update Date
2022-06-28
Business Address
Ms. TIFFANY S GRANT LCSW
79 MIDDLEVILLE RD
NORTHPORT, NY 11768-2200
Phone number: 631-707-6507
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Mailing Address
Ms. TIFFANY S GRANT LCSW
21 BREEZY HILL DR
FORT SALONGA, NY 11768-2614
Phone number: 516-729-9859
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