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1114594397
TIFFANY A BOWHAY
LOS ANGELES, CA
NPI
1114594397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 122705)
Enumeration Date
2021-06-07
Last Update Date
2021-06-07
Business Address
TIFFANY A BOWHAY RADT
2718 W 43RD PL
LOS ANGELES, CA 90008-3921
Phone number: 310-948-1656
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Mailing Address
TIFFANY A BOWHAY RADT
2718 W 43RD PL
LOS ANGELES, CA 90008-3921
Phone number: 310-948-1656
Copy
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