Individual
MS. TIFFANY CONYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LISW-CP, PMH-C
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12122
SC
1041C0700X
Clinical Social Worker
CSW005601
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11937021
CAQH
—
Enumeration date
06/22/2009
Last updated
08/01/2023
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