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1194185215
TIFFANY BUSH
RUTHERFORDTON, NC
NPI
1194185215
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC 22537)
Enumeration Date
2016-03-02
Last Update Date
2016-03-02
Business Address
-- TIFFANY BUSH LCAS
356 CHARLOTTE RD
RUTHERFORDTON, NC 28139-2916
Phone number: 828-287-7945
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Mailing Address
-- TIFFANY BUSH LCAS
129 SUNNY ST
MARION, NC 28752-6411
Phone number: 828-803-2985
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