TIFFANY JOHNSON

SUPERIOR, WI
NPI1245842046
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WI  17142-32)
Enumeration Date2020-08-21
Last Update Date2024-06-14
Business Address
TIFFANY JOHNSON C-SAC
2222 E 5TH ST
SUPERIOR, WI 54880-3709
Phone number: 715-392-1955
Mailing Address
TIFFANY JOHNSON C-SAC
2222 E 5TH ST
SUPERIOR, WI 54880-3709
Phone number: 715-392-1955
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