MAMIE TISUE

SALIDA, CO
NPI1700351905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CO  CSW.09924968)
Enumeration Date2018-10-04
Last Update Date2024-12-11
Business Address
MAMIE TISUE LCSW
134 F ST STE 201
SALIDA, CO 81201-2160
Phone number: 309-236-3254
Mailing Address
MAMIE TISUE LCSW
PO BOX 1355
SALIDA, CO 81201-1355
Phone number: 309-236-3254