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1841200839
TAMMY TODD
BREMERTON, WA
NPI
1841200839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NM I-06638)
Enumeration Date
2006-08-09
Last Update Date
2018-03-17
Business Address
TAMMY TODD LISW
925 ADELE AVE
BREMERTON, WA 98312-3521
Phone number: 360-473-0348
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Mailing Address
TAMMY TODD LISW
2812 SAN MARCIAL ST NW
ALBUQUERQUE, NM 87104-2640
Phone number: 505-247-8118
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