Individual
MRS. CHRISTINE TIEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW-A
Contact information
Practice address
311 WILLIAMSON RD STE 103, MOORESVILLE, NC 28117-5967
(704) 360-3049
Mailing address
14733 LYON HILL LN, HUNTERSVILLE, NC 28078-3293
(980) 215-4876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014508
NC
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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