Individual
ALLISON CLAIRE TISDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01199-0001
(413) 794-0000
Mailing address
44 BERKSHIRE TER APT 1, FLORENCE, MA 01062-1914
(703) 635-6195
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125285
MA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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