Tague, Tia Rae

Tague, Tia Rae is an individual health care provider with primary practice located at 12422 E Mansfield Ave Apt 90 , Spokane Valley WA 99216-1167. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Tague, Tia Rae can be contacted via phone (509) 990-6104.

Contact Information

Primary practice address
12422 E Mansfield Ave Apt 90 Spokane Valley WA 99216-1167
Phone: (509) 990-6104
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Specialist 174400000X MA00018360 Washington

Profile Details

NPI number 1891823100
LBN Legal business name Tague, Tia Rae
Credentials LMP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 24th, 2023 - about last year

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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