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1922564087
TIFFANY LEE YATES
SOUTH BEND, IN
NPI
1922564087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: IN 35002040A)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
Mrs. TIFFANY LEE YATES LMFT
430 E LASALLE AVE
SOUTH BEND, IN 46617-2724
Phone number: 574-229-2404
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Mailing Address
Mrs. TIFFANY LEE YATES LMFT
601 SMITH ST
MISHAWAKA, IN 46544-4864
Phone number: 574-229-2404
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