Lisa A Tietchen, LCSW

NPI #1316009905 in Montrose, New York

Provider Information

NPI Number: 1316009905
Entity Type: Individual
Name: Lisa A Tietchen, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Dec 14, 2006
Last Updated: Dec 30, 2011

Practice Location

Address: 2094 ALBANY POST ROAD
Address 2: SUITE 100
City: Montrose
State: New York
ZIP Code: 10548
Phone: (914) 737-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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