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1336802271
TIFFANY CLARK
TRABUCO CANYON, CA
NPI
1336802271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B00003500724)
Enumeration Date
2021-10-18
Last Update Date
2024-07-31
Business Address
TIFFANY CLARK
20331 FLANAGAN ROAD
TRABUCO CANYON, CA 92679
Phone number: 818-582-8832
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Mailing Address
TIFFANY CLARK
8140 SUNLAND BLVD
SUN VALLEY, CA 91352-3948
Phone number: 949-283-1260
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