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1588936132
TIFFANY OLIVER GOODPASTURE
KNOXVILLE, TN
NPI
1588936132
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Former Name
TIFFANY OLIVER LATTA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TN 2789)
Enumeration Date
2012-01-28
Last Update Date
2016-04-29
Business Address
Ms. TIFFANY OLIVER GOODPASTURE LPC-MHSP
3457 KINGSTON PIKE
KNOXVILLE, TN 37919-4633
Phone number: 931-797-2705
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Mailing Address
Ms. TIFFANY OLIVER GOODPASTURE LPC-MHSP
7312 WILDWOOD CT
KNOXVILLE, TN 37920-6380
Phone number: 931-797-2705
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