Individual
TIFFANY J CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
508 FULTON ST, DURHAM VA MEDICAL CENTER, DURHAM, NC 27705-3875
(919) 286-0411
(919) 416-5834
Mailing address
508 FULTON STREET, DURHAM VA MEDICAL CENTER, DURHAM, NC 27705
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
P007644
NC
Other
Enumeration date
09/26/2012
Last updated
01/14/2013
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