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1720530413
TIFFANY BLAKE
OSCEOLA, AR
NPI
1720530413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: AR 854-M)
Enumeration Date
2016-10-27
Last Update Date
2023-02-10
Business Address
TIFFANY BLAKE LMSW
1487 W KEISER AVE STE 1
OSCEOLA, AR 72370-2806
Phone number: 870-563-4500
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Mailing Address
TIFFANY BLAKE LMSW
2809 FOREST HOME RD
JONESBORO, AR 72401-5320
Phone number: 866-972-1268
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