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Individual

MRS. TIFFANY AMANDA CROOKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
1400 CLEVELAND ST, GREENVILLE, SC 29607-2410
(864) 608-7985
Mailing address
50 ROCKY CREEK RD APT 129, GREENVILLE, SC 29615-6172
(864) 551-5193

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
11/13/2013
Last updated
11/13/2013
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