TIFFANY RENEE' ELLIS

SOUTH LAKE TAHOE, CA
NPI1699964585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2007-10-17
Last Update Date2007-10-17
Business Address
MS. TIFFANY RENEE' ELLIS
1120 3RD ST
SOUTH LAKE TAHOE, CA 96150-3451
Phone number: 530-573-3386
Mailing Address
MS. TIFFANY RENEE' ELLIS
1120 3RD ST
SOUTH LAKE TAHOE, CA 96150-3451
Phone number: 530-573-3386
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