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1205587292
TIFFANY DANIELLE MACK
LYONS, NJ
NPI
1205587292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NJ 44SC06232300)
Enumeration Date
2022-01-12
Last Update Date
2024-09-09
Business Address
TIFFANY DANIELLE MACK LSW
151 KNOLLCROFT RD BLDG 53
LYONS, NJ 07939-5001
Phone number: 908-647-0180
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Mailing Address
TIFFANY DANIELLE MACK LSW
7000 AVALON WAY APT 7436
PISCATAWAY, NJ 08854-7026
Phone number: 908-295-9888
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