Individual
MRS. TIFFANY TAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4444 DEMETROPOLIS RD, MOBILE, AL 36619-9602
(251) 219-3900
Mailing address
4444 DEMETROPOLIS RD, MOBILE, AL 36619-9602
(251) 219-3900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3708C
AL
Other
Enumeration date
05/20/2015
Last updated
11/04/2020
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