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1992218820
TIFFANY NICOLE MCCLUSKEY
SAN PEDRO, CA
NPI
1992218820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA 12702)
Enumeration Date
2017-11-14
Last Update Date
2017-11-14
Business Address
TIFFANY NICOLE MCCLUSKEY CATC-R
270 W 14TH ST
SAN PEDRO, CA 90731-4315
Phone number: 310-519-8723
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Mailing Address
TIFFANY NICOLE MCCLUSKEY CATC-R
270 W 14TH ST
SAN PEDRO, CA 90731-4315
Phone number: 310-519-8723
Copy
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