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1255795480
TIFFANY STUCKY
WILLISTON, ND
NPI
1255795480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: ND 1787)
Enumeration Date
2016-04-13
Last Update Date
2016-04-13
Business Address
TIFFANY STUCKY LAC
316 2ND AVE W
WILLISTON, ND 58801-5218
Phone number: 701-774-4600
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Mailing Address
TIFFANY STUCKY LAC
PO BOX 1266
WILLISTON, ND 58802-1266
Phone number: 701-774-4600
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