Individual
AMY E TISSIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10710 CHARTER DR STE G020, COLUMBIA, MD 21044-3257
(410) 964-2212
Mailing address
11720 BELTSVILLE DR STE 300, BELTSVILLE, MD 20705-3119
(240) 223-1799
(832) 348-5791
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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