Fitzsimmons, Tiana Monique

Fitzsimmons, Tiana Monique is an individual health care provider with primary practice located at 1306 Marshall St , Saint Peter MN 56082-4500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fitzsimmons, Tiana Monique can be contacted via phone (507) 931-8040.

Contact Information

Primary practice address
1306 Marshall St Saint Peter MN 56082-4500
Phone: (507) 931-8040
Fax: (507) 931-8060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 20944 Minnesota

Profile Details

NPI number 1073014262
LBN Legal business name Fitzsimmons, Tiana Monique
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2018
Last updated May 3rd, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073014262 NPPES
Minnesota Other 20944 LICSW

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