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1972199305
TIFFANY HADDOCK
RESTON, VA
NPI
1972199305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0701002866)
Enumeration Date
2020-12-20
Last Update Date
2020-12-20
Business Address
TIFFANY HADDOCK LPC
12000 MARKET ST APT 403
RESTON, VA 20190-6203
Phone number: 703-346-2168
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Mailing Address
TIFFANY HADDOCK LPC
12000 MARKET ST APT 403
RESTON, VA 20190-6203
Phone number: 703-346-2168
Copy
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