Individual
DEBORAH ELIZABETH TIEFERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
401 10TH AVE, MENOMINEE, MI 49858-3009
(906) 836-7841
(906) 863-2833
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6802085415
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982471046228
PREFERRED ONE
—
01
—
DP085415
BCBS OF MI
MI
Enumeration date
07/28/2006
Last updated
07/08/2007
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