Individual
TIFFANY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
5638 PROFESSIONAL CIR, INDIANAPOLIS, IN 46241-5042
(888) 714-1927
(317) 247-8935
Mailing address
4051 RUCKLE ST, INDIANAPOLIS, IN 46205-2718
(317) 362-1312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
07/27/2016
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