Tiesling, Cynthia Leigh
Tiesling, Cynthia Leigh is an individual health care provider with primary practice located at 2339 Cedar Rdg Suite 4, Green Bay WI 54313-5700. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Tiesling, Cynthia Leigh can be contacted via phone (920) 497-6161.Contact Information
Primary practice address
2339 Cedar Rdg Suite 4
Green Bay WI 54313-5700
Phone: (920) 497-6161
Fax: (920) 498-0476
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 378-123 | Wisconsin |
Profile Details
| NPI number | 1639353048 |
|---|---|
| LBN Legal business name | Tiesling, Cynthia Leigh |
| Credentials | MSW, LCSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2007 |
| Last updated | Dec 20th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639353048 | NPPES |
| Wisconsin | MEDICAID | 39284900 |
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