Individual
TIERA T COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3048 BRIARCLIFF RD NE APT 5, ATLANTA, GA 30329-2693
(313) 812-7728
Mailing address
3048 BRIARCLIFF RD NE APT 5, ATLANTA, GA 30329-2693
(313) 812-7728
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008496
GA
Other
Enumeration date
11/04/2018
Last updated
11/04/2018
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