Individual
ELIZABETH L TIEDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGSW
Contact information
Practice address
1560 CONROSE DR, WESTMINSTER, MD 21157-7200
(443) 244-7892
Mailing address
37 MAIN ST, REISTERSTOWN, MD 21136-1236
(410) 526-7882
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
25379
MD
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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