Provider Information for 1801442710
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Ms. MICHELLE M TIGER LCSW
Sex: Female
NPI: 1801442710
Last Updated: 2024-08-01
Certification Date: 2024-08-01
Certification Date: 2024-08-01
Details
| Name | Value | ||||||||
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| NPI | 1801442710 | ||||||||
| Enumeration Date | 2019-08-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 305 BROOKDALE AVE FL 1 GLENSIDE, PA 19038-4506 United States Phone: 610-308-4179 | Fax: | ||||||||
| Primary Practice Address | 107 E GLENSIDE AVE STE B GLENSIDE, PA 19038-4629 United States Phone: 610-308-4179 | Fax: | ||||||||
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