Mamie Tisue, LCSW

NPI #1700351905 in Salida, Colorado

Provider Information

NPI Number: 1700351905
Entity Type: Individual
Name: Mamie Tisue, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Oct 4, 2018
Last Updated: Dec 11, 2024

Practice Location

Address: 134 F ST STE 201
City: Salida
State: Colorado
ZIP Code: 81201-2160
Phone: (309) 236-3254

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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