Individual
MRS. ANNE O TIERNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1909 DOOMAR DR, TALLAHASSEE, FL 32308-4805
(850) 671-2823
Mailing address
1909 DOOMAR DR, TALLAHASSEE, FL 32308-4805
(850) 671-2823
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW 8910
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155184801
—
TX
05
—
179802701
—
TX
Enumeration date
04/12/2007
Last updated
04/27/2010
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