Individual
TIFFANY ANN PRASERTKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
975 FOOTHILLS ROAD, GREENVILLE, SC 29617
(864) 371-1274
Mailing address
975 FOOTHILLS ROAD, GREENVILLE, SC 29617
(864) 371-1274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9124
SC
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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