Individual
ASHELY TIERNEY OTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APSW
Contact information
Practice address
1320 MENDOTA ST, STE 120, MADISON, WI 53714-1096
(608) 280-3180
(608) 280-3185
Mailing address
25 KESSEL CT, STE 105, MADISON, WI 53711-6227
(608) 280-2700
(608) 280-2707
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/13/2015
Last updated
09/14/2016
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