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1518358795
TIFFANY N AVISO
TWIN FALLS, ID
NPI
1518358795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: ID LCPC-6771)
Enumeration Date
2015-02-10
Last Update Date
2021-09-02
Business Address
TIFFANY N AVISO LCPC-S, QSUDP
139 RIVER VISTA PL STE 201
TWIN FALLS, ID 83301-3060
Phone number: 208-423-8270
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Mailing Address
TIFFANY N AVISO LCPC-S, QSUDP
139 RIVER VISTA PL STE 201
TWIN FALLS, ID 83301-3060
Phone number: 208-423-8270
Copy
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