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1194106559
TIFFANY ALEXIS
METAIRIE, LA
NPI
1194106559
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-06-11
Last Update Date
2015-06-11
Business Address
-- TIFFANY ALEXIS
1901B AIRLINE DR
METAIRIE, LA 70001-5936
Phone number: 504-833-4673
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Mailing Address
-- TIFFANY ALEXIS
1901B AIRLINE DR
METAIRIE, LA 70001-5936
Phone number:
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