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Organization
TIFFANY EVANS
Active
Organization
TIFFANY EVANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY EVANS (LMSW)
(623) 233-0116
Entity
Organization
Contact information
Practice address
4488 BRETON RD SE, KENTWOOD, MI 49508-5270
(616) 340-9026
Mailing address
2529 BRIDGEPORT LN SE, KENTWOOD, MI 49508-8431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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