Individual
CHRISTINE E. TARDIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
13 DEARBORN AVE, BEVERLY, MA 01915-3407
(508) 932-2487
Mailing address
13 DEARBORN AVE, BEVERLY, MA 01915-2226
(508) 932-2487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1032787
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1857088
—
MA
Enumeration date
11/01/2006
Last updated
12/09/2016
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