Individual
TIFFANY N. CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
421 FALLSWAY, RM # 2144, BALTIMORE, MD 21202-4800
(410) 837-5533
(410) 837-8020
Mailing address
421 FALLSWAY, RM # 2144, BALTIMORE, MD 21202-4800
(410) 837-5533
(410) 837-8020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
G12347
MD
Other
Enumeration date
02/08/2008
Last updated
01/21/2010
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