Individual
TIFFANY TOM-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
7146 SOUTHLAKE PKWY, MORROW, GA 30260-3075
(770) 960-9961
(770) 960-0877
Mailing address
7146 SOUTHLAKE PKWY, MORROW, GA 30260-3075
(770) 960-9961
(770) 960-0877
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
CRC00090562
GA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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