Individual
TIARA MAE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1373 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 737-9999
Mailing address
1373 FILLMORE ST, TWIN FALLS, ID 83301-3392
(208) 737-9999
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-38757
ID
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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