TIFFANI WALLACE

HAWTHORNE, CA
NPI1598378234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2020-08-24
Last Update Date2020-08-27
Business Address
TIFFANI WALLACE
2509 W 115TH PL
HAWTHORNE, CA 90250-1968
Phone number: 323-961-0129
Mailing Address
TIFFANI WALLACE
17671 PEACHTREE LN
CARSON, CA 90746-7489
Phone number: 404-514-1692
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