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1609305226
TIFFANY FANNIN
REYNOLDSBURG, OH
NPI
1609305226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2017-06-07
Last Update Date
2022-03-30
Business Address
TIFFANY FANNIN LISW, CDCA
6895 E MAIN ST
REYNOLDSBURG, OH 43068-2289
Phone number: 614-845-7500
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Mailing Address
TIFFANY FANNIN LISW, CDCA
2989 TREE BEND CIR
GROVE CITY, OH 43123-8263
Phone number: 614-832-0447
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