Individual
RILEY TANGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
116 W 32ND ST, MARION, IN 46953
(765) 662-2039
Mailing address
505 N WABASH AVE, MARION, IN 46952-2608
(765) 667-3971
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33011819A
IN
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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