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1053194647
TIFFANY CARSON
OAKLAND, CA
NPI
1053194647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 17097)
Enumeration Date
2023-08-16
Last Update Date
2024-01-17
Business Address
TIFFANY CARSON
201 OAKLAND AVE APT 4
OAKLAND, CA 94611-5538
Phone number: 510-612-9042
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Mailing Address
TIFFANY CARSON
201 OAKLAND AVE APT 4
OAKLAND, CA 94611-5538
Phone number:
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