Individual
TIA ROSE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 MAIN ST, NORWAY, ME 04268-5643
(207) 739-0690
Mailing address
24 ALLIED WAY, HARRISON, ME 04040-4042
(207) 450-5773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21526
ME
1041C0700X
Clinical Social Worker
MC18167
ME
Other
Enumeration date
08/27/2019
Last updated
08/16/2023
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