Individual
TSISTAS YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1601 MILITARY RD, SIOUX CITY, IA 51103-1715
(712) 252-4547
Mailing address
1601 MILITARY RD, SIOUX CITY, IA 51103-1715
(712) 252-4547
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101136
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101136
LMSW
IA
Enumeration date
08/20/2020
Last updated
08/26/2020
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