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1649317272
TIFFANY LYNN UNDERWOOD
SALEM, OR
NPI
1649317272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-01-31
Last Update Date
2007-07-08
Business Address
-- TIFFANY LYNN UNDERWOOD B.S.
3325 HAROLD DR NE
SALEM, OR 97305-1339
Phone number: 509-363-2021
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Mailing Address
-- TIFFANY LYNN UNDERWOOD B.S.
2265 CENTER ST NE
SALEM, OR 97301-4461
Phone number: 503-510-7704
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