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Individual
TIFFANY ASHLEY WALTON
Active
Individual
TIFFANY ASHLEY WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CATC 1
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
112782
CA
Other
Enumeration date
04/01/2014
Last updated
05/06/2015
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