JENNIFER TISDALE

GARNER, NC
NPI1700443843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: NC  PO13258)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: NC  C017933)
Enumeration Date2019-05-23
Last Update Date2024-12-26
Business Address
JENNIFER TISDALE
136 US 70 HWY E
GARNER, NC 27529-3982
Phone number: 919-791-5611
Mailing Address
JENNIFER TISDALE
1107 MORDECAI DR APT 202
RALEIGH, NC 27604-1357
Phone number: 919-413-7900