Shannonn Marie Tierney MSW, LICSW

NPI 1750481354 - Social Worker - 1041C0700X

NPI Details
NPI 1750481354
Gender Male
Enumeration Date 09/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
530 19TH ST
PORT TOWNSEND WA, 98368-6007, US
Phone (360) 379-5339
Fax (360) 379-5339
Business Location
530 19TH ST
PORT TOWNSEND WA, 98368-6007, US
Phone (360) 379-5339
Fax (360) 379-5339
Toxanomy
Taxonomy Code 1041C0700X
License State Washington
License Number LW00007915
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According to our database, Shannonn Marie Tierney MSW, LICSW NPI is 1750481354, taxonomy code is 1041C0700X and license number is LW00007915, license state is located at Washington. Shannonn Marie Tierney MSW, LICSW physically located at 530 19th St, Port Townsend WA, 98368-6007. NPI Number Shannonn Marie Tierney MSW, LICSW has the Individual type.

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1750481354 NPI number is provided on an as is basis without warranty of any kind. 1750481354 is maintained by the National Plan & Provider Enumeration System. The contents of Shannonn Marie Tierney MSW, LICSW are for informational purposes only.