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1467826123
TIFFANY BENNETT
SAN DIEGO, CA
NPI
1467826123
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-11-18
Last Update Date
2019-01-17
Business Address
TIFFANY BENNETT
1127 S 38TH ST
SAN DIEGO, CA 92113-3210
Phone number: 619-262-4002
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Mailing Address
TIFFANY BENNETT
1127 S 38TH ST
SAN DIEGO, CA 92113-3210
Phone number: 619-262-4002
Copy
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