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1598097990
TIFFANY L OUTLAW
CLARKSDALE, MS
NPI
1598097990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-02-10
Last Update Date
2010-02-10
Business Address
MS. TIFFANY L OUTLAW M.ED.
1742 CHERYL ST
CLARKSDALE, MS 38614-7218
Phone number: 662-627-7267
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Mailing Address
MS. TIFFANY L OUTLAW M.ED.
PO BOX 1046
CLARKSDALE, MS 38614-1046
Phone number: 662-627-7267
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