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1285249771
TIFFANY JANELLE GRANT
MARIETTA, GA
NPI
1285249771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW007230)
Enumeration Date
2020-09-10
Last Update Date
2020-09-10
Business Address
TIFFANY JANELLE GRANT LCSW
1355 TERRELL MILL RD SE STE 205
MARIETTA, GA 30067-5496
Phone number: 510-260-5132
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Mailing Address
TIFFANY JANELLE GRANT LCSW
1476 SPRINGLEAF CIR SE APT B
SMYRNA, GA 30080-8126
Phone number: 510-260-5132
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