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1295158061
TIFFANY NICOLE LONGJOHN
WINSTON SALEM, NC
NPI
1295158061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: NC A10578)
Enumeration Date
2014-01-29
Last Update Date
2014-02-27
Business Address
-- TIFFANY NICOLE LONGJOHN MS, NCC, LPCA
1510 MARTIN ST
WINSTON SALEM, NC 27103-4906
Phone number: 336-760-1330
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Mailing Address
-- TIFFANY NICOLE LONGJOHN MS, NCC, LPCA
1510 MARTIN ST
WINSTON SALEM, NC 27103-4906
Phone number: 336-760-1330
Copy
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