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Individual

TIFFANY DAWN SANDLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
TEACHER,

Contact information

Practice address
10 FARRAGUT AVE, COLORADO SPRINGS, CO 80909-5626
(719) 636-2122
Mailing address
720 MELANY LN APT 20, COLORADO SPRINGS, CO 80907-5951
(719) 271-3249

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
11/11/2018
Last updated
11/11/2018
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