TIFFANY ONESSIA SHABAZZ

GREENWOOD, SC
NPI1306495684
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-09-09
Last Update Date2019-09-09
Business Address
Mrs. TIFFANY ONESSIA SHABAZZ
1612 RIVERS ST
GREENWOOD, SC 29649-8513
Phone number: 864-227-1001
Mailing Address
Mrs. TIFFANY ONESSIA SHABAZZ
PO BOX 50209
GREENWOOD, SC 29649-0021
Phone number: 864-227-1001
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