Individual
MRS. TAMMY RAE LIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, QMHP
Contact information
Practice address
47558 254TH ST, BALTIC, SD 57003-5930
(605) 351-0475
Mailing address
47558 254TH ST, BALTIC, SD 57003-5930
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT1192
SD
Other
Enumeration date
11/09/2006
Last updated
04/30/2024
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