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1629679634
TIFFANY SOUZA
SAN ANDREAS, CA
NPI
1629679634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA 101YM0800X)
Enumeration Date
2020-11-05
Last Update Date
2020-11-05
Business Address
TIFFANY SOUZA B.A.
10400 FRICOT CITY RD
SAN ANDREAS, CA 95249-9642
Phone number: 209-736-4500
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Mailing Address
TIFFANY SOUZA B.A.
10400 FRICOT CITY RD
SAN ANDREAS, CA 95249-9642
Phone number: 209-736-4500
Copy
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