Most Relevant Information
Provider Data
| NPI Number: | 1003465196 |
| Provider Name: | ELIZABETH L TIEDEMANN LGSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 25379 |
Most Important Dates
| Enumeration Date: | 09/10/2019 |
| Last Updated: | 09/10/2019 |
Provider Practice Location
1560 CONROSE DR
WESTMINSTER
MD
211577200
Practice Location Phone/Fax
| Phone: | 4432447892 |
| Fax: |
Provider Mailing Location
37 MAIN ST
REISTERSTOWN
MD
211361236
Provider Mailing Phone/Fax
| Phone: | 4105267882 |
| Fax: |