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1083386296
TIFFANY PELTON
AUSTIN, TX
NPI
1083386296
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 13719)
Enumeration Date
2021-10-05
Last Update Date
2021-10-05
Business Address
Ms. TIFFANY PELTON LCDC
12304 LOS INDIOS TRL # A
AUSTIN, TX 78729-7625
Phone number: 832-318-4971
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Mailing Address
Ms. TIFFANY PELTON LCDC
12304 LOS INDIOS TRL # A
AUSTIN, TX 78729-7625
Phone number:
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