Individual
AIMEE MARIE TIERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DT
Contact information
Practice address
8264 W KIRSCH RD, TROY, IL 62294-2420
(618) 304-1235
Mailing address
8264 W KIRSCH RD, TROY, IL 62294-2420
(618) 304-1235
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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