Tiana Monique Fitzsimmons, LICSW
Social Worker, Clinical in Saint Peter, MN. Individual provider (NPI-1).
NPI number1073014262
StatusActive
Last updated in NPPESMay 3, 2018
Details
- NPI
- 1073014262
- Entity type
- Individual (NPI-1)
- Name
- Tiana Monique Fitzsimmons
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2018
- Last updated
- May 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20944 | MN | Yes |
Other names
- Tiana Woitas (Former Name)
Practice location
1306 Marshall StSaint Peter, MN 56082-4500
Phone 507-931-8040 · Fax 507-931-8060
Mailing address
1306 Marshall StSaint Peter, MN 56082-4500
Phone 507-931-8040 · Fax 507-931-8060
Other practice locations
226 N Broad St
Mankato, MN 56001-3520
Mankato, MN 56001-3520
Phone 507-931-8040 · Fax 507-931-8060
760 Elmwood Ave S
Le Sueur, MN 56058-2169
Le Sueur, MN 56058-2169
Phone 507-931-8040 · Fax 507-931-8060
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