Tisia Ciesluk LICSW

NPI 1245652965 - Social Worker - 1041C0700X

NPI Details
NPI 1245652965
Gender Female
Enumeration Date 01/15/2014
Last Updated 01/15/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
51 WILLIAM ST
WORCESTER MA, 01609-2336, US
Phone (508) 791-5540
Fax (508) 799-6325
Business Location
P.O. BOX 34
WESTBORO MA, 01581, US
Phone (508) 870-0647
Fax (508) 799-6325
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 116724
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According to our database, Ms. Tisia Ciesluk LICSW NPI is 1245652965, taxonomy code is 1041C0700X and license number is 116724, license state is located at Massachusetts. Tisia Ciesluk LICSW physically located at 51 William St, Worcester MA, 01609-2336. NPI Number Tisia Ciesluk LICSW has the Individual type.

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1245652965 NPI number is provided on an as is basis without warranty of any kind. 1245652965 is maintained by the National Plan & Provider Enumeration System. The contents of Tisia Ciesluk LICSW are for informational purposes only.