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1780709584
TIFFANY LYNN MCCULLOUGH
BENTONVILLE, AR
NPI
1780709584
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 2096-C)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
-- TIFFANY LYNN MCCULLOUGH L.C.S.W
2508 SE 20TH ST
BENTONVILLE, AR 72712-4008
Phone number: 479-273-9088
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Mailing Address
-- TIFFANY LYNN MCCULLOUGH L.C.S.W
2400 S 48TH ST
SPRINGDALE, AR 72762-6683
Phone number: 479-750-2020
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