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1942722459
TIFFANY LYNN COLLETTA
ROLLA, MO
NPI
1942722459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 2021000256)
Enumeration Date
2017-07-17
Last Update Date
2021-09-16
Business Address
TIFFANY LYNN COLLETTA MSW, LCSW
1450 E 10TH ST
ROLLA, MO 65401-3648
Phone number: 888-403-1071
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Mailing Address
TIFFANY LYNN COLLETTA MSW, LCSW
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-885-8131
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