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Tiffeny Sanchez began her professional career as a social worker working in Texas and Florida. Tiffeny also worked in the administrations of President William J. Clinton and Governor Jeb Bush as an aide to General Barry McCaffrey, Director of the Federal Office of Drug Control Policy, and James McDonough, Director of the Florida Office of Drug Control Policy.

Since moving permanently to the D.C. area, Tiffeny has served on the Alexandria Community Services Board which oversees the use of public funds to provide mental health, developmental disability, and substance abuse services, and as Co-Chair of the Friends of the Alexandria Mental Health Center, a non-profit, that raises money to provide services to clients in recovery that are struggling to cover basic life needs such as medicine, housing, transportation, and education.