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1710254933
TIFFANY SMITH
LA CROSSE, WI
NPI
1710254933
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: WI 10891-120)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
-- TIFFANY SMITH BSW
1407 SAINT ANDREW ST SUITE 100
LA CROSSE, WI 54603-3301
Phone number: 608-785-6266
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Mailing Address
-- TIFFANY SMITH BSW
12552 US HIGHWAY 61
FENNIMORE, WI 53809-9613
Phone number: 608-732-3710
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