TIFFANY ROSE GRANT

AMMON, ID
NPI1184153504
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: ID  LCSW-40683)
Additional Taxonomies104100000X Social Worker
Enumeration Date2017-06-08
Last Update Date2021-09-17
Business Address
TIFFANY ROSE GRANT LCSW
2705 E 17TH ST
AMMON, ID 83406
Phone number: 208-346-7500
Mailing Address
TIFFANY ROSE GRANT LCSW
2705 E 17TH ST
AMMON, ID 83406-6601
Phone number: 208-346-7500
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