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1679921563
TIFFANY BOSWORTH
REDDING, CA
NPI
1679921563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2016-06-01
Last Update Date
2016-06-01
Business Address
TIFFANY BOSWORTH
1506 MARKET ST
REDDING, CA 96001-1023
Phone number: 530-245-6411
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Mailing Address
TIFFANY BOSWORTH
1506 MARKET ST
REDDING, CA 96001-1023
Phone number: 530-245-6411
Copy
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