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1104255041
TIFFANY BAZEMORE
ROCKY MOUNT, NC
NPI
1104255041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C008515)
Enumeration Date
2013-11-01
Last Update Date
2013-11-01
Business Address
Miss TIFFANY BAZEMORE LCSW
224 BROWNING LN
ROCKY MOUNT, NC 27804-9079
Phone number: 252-442-4176
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Mailing Address
Miss TIFFANY BAZEMORE LCSW
224 BROWNING LN
ROCKY MOUNT, NC 27804-9079
Phone number: 252-442-4176
Copy
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