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1962168690
TIFFANNIE MONTAQUE-JENKINS
TRACY, CA
NPI
1962168690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 92399)
Enumeration Date
2021-11-17
Last Update Date
2021-12-02
Business Address
TIFFANNIE MONTAQUE-JENKINS
35 E 10TH ST STE L
TRACY, CA 95376-4083
Phone number: 209-666-1003
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Mailing Address
TIFFANNIE MONTAQUE-JENKINS
1319 WASHINGTON AVE UNIT 785
SAN LEANDRO, CA 94577-7131
Phone number: 510-564-6999
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