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1336662063
TIFFANY POWELL
LOS ANGELES, CA
NPI
1336662063
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-07-25
Last Update Date
2022-07-21
Business Address
TIFFANY POWELL R1251700517
3756 SANTA ROSALIA DR SUITE 617
LOS ANGELES, CA 90008
Phone number: 323-296-1840
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Mailing Address
TIFFANY POWELL R1251700517
3756 SANTA ROSALIA DR STE 617
LOS ANGELES, CA 90008-3606
Phone number: 323-296-1840
Copy
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