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1922591841
TIFFENY MACK
SAINT LOUIS, MO
NPI
1922591841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MO 2017021470)
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
Mrs. TIFFENY MACK M. ED; PLPC
1340 BELT AVE
SAINT LOUIS, MO 63112-4115
Phone number: 314-266-8858
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Mailing Address
Mrs. TIFFENY MACK M. ED; PLPC
12384 TRIBUTARY DR APT J
MARYLAND HEIGHTS, MO 63043-2029
Phone number: 314-266-8858
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