MRS. Tia Rae Tague, LMP

NPI #1891823100 in Spokane Valley, Washington

Provider Information

NPI Number
1891823100
Entity Type
Individual
Name
MRS. Tia Rae Tague, LMP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
LMP
Enumeration Date
Feb 28, 2007
Last Updated
Feb 24, 2023

Practice Location

Address
12422 E MANSFIELD AVE APT 90
ZIP Code
99216-1167
Phone
(509) 990-6104

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Specialist

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