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1043762271
TIFFANY CARLSON
LAKE WORTH, FL
NPI
1043762271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH13770)
Enumeration Date
2016-11-04
Last Update Date
2016-11-04
Business Address
-- TIFFANY CARLSON
3898 VIA POINCIANA 13
LAKE WORTH, FL 33467-2951
Phone number: 561-967-2566
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Mailing Address
-- TIFFANY CARLSON
7423 74TH WAY
WEST PALM BEACH, FL 33407-6735
Phone number: 561-676-9541
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