Individual
MRS. TIFFANY NICHOLE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
(706) 826-1226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010461
GA
Other
Enumeration date
04/10/2022
Last updated
04/15/2022
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