Individual
TIFFANY M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
118 EMOGENE PL, MOBILE, AL 36606-4807
(251) 508-1990
Mailing address
5415 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30043-7832
(888) 829-0897
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3979C
AL
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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