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1861962631
TIFFANY MACK
BROOKLYN, NY
NPI
1861962631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 33272)
Enumeration Date
2018-12-04
Last Update Date
2018-12-04
Business Address
TIFFANY MACK CASAC-T
1463 FLATBUSH AVE
BROOKLYN, NY 11210-2428
Phone number: 718-951-9009
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Mailing Address
TIFFANY MACK CASAC-T
621 CRESCENT ST
BROOKLYN, NY 11208-3935
Phone number: 718-406-7075
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