TIFFANY T HETLETVED

CANDO, ND
NPI1932363850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: ND  1487)
Enumeration Date2008-07-10
Last Update Date2008-07-10
Business Address
-- TIFFANY T HETLETVED LAC
7448 68TH AVE NE
CANDO, ND 58324-9485
Phone number: 701-968-2568
Mailing Address
-- TIFFANY T HETLETVED LAC
7448 68TH AVE NE
CANDO, ND 58324-9485
Phone number: 701-968-2568
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