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1508639915
TIFFANY JANE GOODENOUGH
WARSAW, NY
NPI
1508639915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NY 38469)
Enumeration Date
2023-11-07
Last Update Date
2023-11-07
Business Address
TIFFANY JANE GOODENOUGH
34 N MAIN ST
WARSAW, NY 14569-1326
Phone number: 585-786-0220
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Mailing Address
TIFFANY JANE GOODENOUGH
227 THORN AVE
ORCHARD PARK, NY 14127-2600
Phone number: 716-662-2040
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