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1467553230
TIFFANY MARIE THAYER GRANT
SAINT PAUL, MN
NPI
1467553230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: MN 15733)
Enumeration Date
2006-09-26
Last Update Date
2012-06-06
Business Address
MS. TIFFANY MARIE THAYER GRANT LICSW
2550 UNIVERSITY AVE W SUITE 229N
SAINT PAUL, MN 55114-1052
Phone number: 651-645-3115
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Mailing Address
MS. TIFFANY MARIE THAYER GRANT LICSW
71 BIRNAMWOOD DR
BURNSVILLE, MN 55337-6812
Phone number: 612-273-3725
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