TIFFANY MARIE THAYER GRANT

SAINT PAUL, MN
NPI1467553230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MN  15733)
Enumeration Date2006-09-26
Last Update Date2012-06-06
Business Address
MS. TIFFANY MARIE THAYER GRANT LICSW
2550 UNIVERSITY AVE W SUITE 229N
SAINT PAUL, MN 55114-1052
Phone number: 651-645-3115
Mailing Address
MS. TIFFANY MARIE THAYER GRANT LICSW
71 BIRNAMWOOD DR
BURNSVILLE, MN 55337-6812
Phone number: 612-273-3725