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1013162809
TIFFANY ROSE MIMMS
SACRAMENTO, CA
NPI
1013162809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: CA 21784)
Enumeration Date
2008-11-20
Last Update Date
2008-11-20
Business Address
Dr. TIFFANY ROSE MIMMS Ph.D.
1521 CORPORATE WAY STE 200
SACRAMENTO, CA 95831-3891
Phone number: 916-216-8433
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Mailing Address
Dr. TIFFANY ROSE MIMMS Ph.D.
7324 SOUZA CIR
SACRAMENTO, CA 95831-4737
Phone number: 916-216-8433
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