Individual
TIFFANY TIVON GRASTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW INTERN
Contact information
Practice address
2980 S RAINBOW BLVD STE 200-A, SUITE #230, LAS VEGAS, NV 89146-6531
(702) 673-7462
(702) 442-8900
Mailing address
8916 TORCELLO DR, LAS VEGAS, NV 89117-1104
(702) 290-1604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6052-S
NV
Other
Enumeration date
11/09/2012
Last updated
01/31/2017
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