Tierny Austin
Social Worker in Rockford, IL. Individual provider (NPI-1).
NPI number1376249664
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1376249664
- Entity type
- Individual (NPI-1)
- Name
- Tierny Austin
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2023
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 150.105713 | IL | Yes |
Practice location
2704 N Main StRockford, IL 61103-3112
Phone 888-928-0212
Mailing address
2020 Price StRockford, IL 61103-4563
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