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1356106728
TIFFANY DAWN RICHARDSON
LAKEWOOD, WA
NPI
1356106728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61521893)
Enumeration Date
2024-02-15
Last Update Date
2024-02-15
Business Address
TIFFANY DAWN RICHARDSON
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-503-3666
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Mailing Address
TIFFANY DAWN RICHARDSON
16010 119TH AVE E
PUYALLUP, WA 98374-9713
Phone number: 253-722-7405
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