TIFFANYANN F TRAYLOR

COLVILLE, WA
NPI1376072827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60346109)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
TIFFANYANN F TRAYLOR
165 E. HAWTHOREN AVENUE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
TIFFANYANN F TRAYLOR
165 E. HAWTHOREN AVENUE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597