Individual
MARISELA SANTIAGO TIRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSWCC
Contact information
Practice address
901 WASHINGTON AVE, PORTLAND, ME 04103-2737
(207) 871-1200
Mailing address
20 COTTAGE PARK RD, PORTLAND, ME 04103-8000
(973) 768-0936
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MC24757
ME
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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