Individual
AMY TIETJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
46 CENTERRA PKWY STE 105, LEBANON, NH 03766-1488
(603) 691-3435
(603) 919-1915
Mailing address
46 CENTERRA PKWY STE 105, LEBANON, NH 03766-1488
(603) 691-3435
(603) 919-1915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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