TIFFANY MICKENS

NOVI, MI
NPI1417614280
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  088095)
Enumeration Date2021-11-29
Last Update Date2021-11-29
Business Address
TIFFANY MICKENS LCSW
24230 KARIM BLVD STE 100
NOVI, MI 48375-2960
Phone number: 248-745-4900
Mailing Address
TIFFANY MICKENS LCSW
762 CREEK BOTTOM RD
LOGANVILLE, GA 30052-6665
Phone number: 347-575-3084