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1962759506
TIFFANI J SURRATT
CINCINNATI, OH
NPI
1962759506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH LCDC.10102-3)
Enumeration Date
2012-08-14
Last Update Date
2012-08-14
Business Address
-- TIFFANI J SURRATT LCDCIII
2222 VINE ST
CINCINNATI, OH 45219-1828
Phone number: 513-751-8600
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Mailing Address
-- TIFFANI J SURRATT LCDCIII
2600 VICTORY PKWY
CINCINNATI, OH 45206-1711
Phone number: 513-751-7747
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