SHANNAN TIPHARETH

PUEBLO, CO
NPI1871100719
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB.0008677)
Enumeration Date2020-09-24
Last Update Date2020-09-24
Business Address
SHANNAN TIPHARETH
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-369-3781
Mailing Address
SHANNAN TIPHARETH
3470 BALTIMORE AVE
PUEBLO, CO 81008-1520
Phone number: 719-369-3781
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