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1881236024
TIFANY LEE LITTLEJOHN
MODESTO, CA
NPI
1881236024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA B001800823)
Enumeration Date
2019-10-09
Last Update Date
2023-09-02
Business Address
TIFANY LEE LITTLEJOHN CADC III
1100 KANSAS AVE STE B
MODESTO, CA 95351-1596
Phone number: 209-579-1151
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Mailing Address
TIFANY LEE LITTLEJOHN CADC III
4007 N WARING RD
DENAIR, CA 95316-9518
Phone number: 209-353-7917
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