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1396599908
TIFFANY MCCOY
SHELTON, WA
NPI
1396599908
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO61521496)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
TIFFANY MCCOY
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number: 360-426-0890
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Mailing Address
TIFFANY MCCOY
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number: 360-426-0890
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