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Organization
TIFT & TIFT LLC
Active
Organization
TIFT & TIFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES E. TIFT LMSW (MEMBER MANAGER)
(912) 977-4663
Entity
Organization
Contact information
Practice address
36 COATES RD, HINESVILLE, GA 31313
(912) 977-4663
(912) 369-6530
Mailing address
36 COATES RD, HINESVILLE, GA 31313-1013
(912) 977-4663
(912) 369-6530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
012789
MI
1041C0700X
Clinical Social Worker
Primary
MSW002656
GA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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