Individual
CAMELLIA TIERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8424 QUEETS DR NE, LACEY, WA 98516-5815
(574) 514-6329
Mailing address
8424 QUEETS DR NE, LACEY, WA 98516-5815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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