Individual
MS. TIFFANY DEAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
633 E FERNHURST DR STE 1102, KATY, TX 77450-1592
(281) 940-8515
Mailing address
2379 BRIARWEST BLVD UNIT 131, HOUSTON, TX 77077-5638
(713) 829-3501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
67634
TX
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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