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1346379591
GEORGIA T TIESSEN
APO, AE
NPI
1346379591
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 938)
Enumeration Date
2007-03-05
Last Update Date
2008-04-20
Business Address
Mrs. GEORGIA T TIESSEN MSW
CMR411, BOX 3475
APO, AE 09112
Phone number: 314-476-2079
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Mailing Address
Mrs. GEORGIA T TIESSEN MSW
CMR 411, BOX 3475
APO, AE 09112
Phone number:
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