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1073984597
TIPHANIE CHAMP
JEFFERSON, LA
NPI
1073984597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-09
Last Update Date
2015-10-09
Business Address
-- TIPHANIE CHAMP
609 LAURICELLA AVE
JEFFERSON, LA 70121-1711
Phone number: 504-338-1522
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Mailing Address
-- TIPHANIE CHAMP
609 LAURICELLA AVE
JEFFERSON, LA 70121-1711
Phone number: 504-338-1522
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