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1245918093
TIFFANY CAMPBELL
POCATELLO, ID
NPI
1245918093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ID LPC-9614)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
TIFFANY CAMPBELL
1001 N 7TH AVE STE 260
POCATELLO, ID 83201-5788
Phone number: 208-223-1309
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Mailing Address
TIFFANY CAMPBELL
1001 N 7TH AVE STE 260
POCATELLO, ID 83201-5788
Phone number: 208-223-1309
Copy
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