Individual
MRS. TIFFANY B. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
160 MONTROSE DRIVE, LEXINGTON, SC 29072-6906
(803) 767-3712
(803) 957-7898
Mailing address
160 MONTROSE DRIVE, LEXINGTON, SC 29072-6906
(803) 767-3712
(803) 957-7898
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4537
SC
Other
Enumeration date
08/06/2010
Last updated
10/18/2010
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