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1396351052
TIFFANY T HALL
LONG BEACH, CA
NPI
1396351052
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA R1362650919)
Enumeration Date
2020-09-18
Last Update Date
2021-09-02
Business Address
TIFFANY T HALL
1775 CHESTNUT AVE
LONG BEACH, CA 90813-1674
Phone number: 562-599-8444
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Mailing Address
TIFFANY T HALL
5619 CHESTNUT AVE
LONG BEACH, CA 90805-4003
Phone number: 562-360-8664
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