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1740514272
TIFFANY DERBY KALLHOVD
SUNNYSIDE, NY
NPI
1740514272
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: NY 075643)
Enumeration Date
2009-10-01
Last Update Date
2010-04-01
Business Address
MS. TIFFANY DERBY KALLHOVD LMSW, CASAC
4519 42ND ST APT 4A
SUNNYSIDE, NY 11104-2974
Phone number: 631-445-8875
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Mailing Address
MS. TIFFANY DERBY KALLHOVD LMSW, CASAC
4519 42ND ST APT 4A
SUNNYSIDE, NY 11104-2974
Phone number: 631-445-8875
Copy
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