TIFFANY A SHORES

GASTONIA, NC
NPI1396065033
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NC  1639)
Enumeration Date2010-06-04
Last Update Date2010-06-04
Business Address
-- TIFFANY A SHORES LCAS
549 COX RD
GASTONIA, NC 28054-0628
Phone number: 704-865-1558
Mailing Address
-- TIFFANY A SHORES LCAS
145 REMOUNT RD
CHARLOTTE, NC 28203-5013
Phone number: 704-332-9001
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