Most Relevant Information
Provider Data
| NPI Number: | 1003209362 |
| Provider Name: | TIFFANY ST. LOUIS L.C.S.W |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 085439-1 |
Most Important Dates
| Enumeration Date: | 03/11/2015 |
| Last Updated: | 12/27/2017 |
Provider Practice Location
1 LAWRENCE ST
GLENS FALLS
NY
128013617
Practice Location Phone/Fax
| Phone: | 5189267067 |
| Fax: |
Provider Mailing Location
229 BAY RD APT 1
GLENS FALLS
NY
128012357
Provider Mailing Phone/Fax
| Phone: | 5189293630 |
| Fax: |