Grant, Tiffany Rose
Grant, Tiffany Rose is an individual health care provider with primary practice located at 2705 E 17Th St , Ammon ID 83406. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Grant, Tiffany Rose can be contacted via phone (208) 346-7500.Contact Information
Primary practice address
2705 E 17Th St
Ammon ID 83406
Phone: (208) 346-7500
Fax: (208) 346-7501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | ||
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | LCSW-40683 | Idaho |
Profile Details
| NPI number | 1184153504 |
|---|---|
| LBN Legal business name | Grant, Tiffany Rose |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2017 |
| Last updated | Sep 17th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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