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1831361427
KATHLEEN MARIE TISE
DURHAM, NC
NPI
1831361427
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Other Name
KATIE TISE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C003806)
Enumeration Date
2008-03-24
Last Update Date
2009-07-01
Business Address
-- KATHLEEN MARIE TISE LCSW
411 W CHAPEL HILL ST
DURHAM, NC 27701-3616
Phone number: 919-419-3474
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Mailing Address
-- KATHLEEN MARIE TISE LCSW
411 W CHAPEL HILL ST
DURHAM, NC 27701-3616
Phone number: 919-419-3474
Copy
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