| Tiffany Evans | |
|
4488 Breton Rd Se Kentwood MI 49508-5270 | |
| (616) 340-9026 | |
| Not Available |
| Full Name | Tiffany Evans |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4488 Breton Rd Se, Kentwood, Michigan |
| Authorized Official Name and Position | Tiffany Evans (LMSW) |
| Authorized Official Contact | 6232330116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Evans 2529 Bridgeport Ln Se Kentwood MI 49508-8431 Ph: () - | Tiffany Evans 4488 Breton Rd Se Kentwood MI 49508-5270 Ph: (616) 340-9026 |
| NPI Number | 1841987484 |
|---|---|
| Provider Enumeration Date | 04/24/2023 |
| Last Update Date | 04/24/2023 |
| Certification Date | 04/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841987484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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