Individual
ALICIA TIEDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
(562) 437-5072
Mailing address
456 ELM AVE, LONG BEACH, CA 90802-2426
(562) 437-6717
(562) 437-5072
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
95441
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/04/2016
Last updated
10/20/2020
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