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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TISHA PETELO, LCSW, MAC

Active

MRS. TISHA PETELO, LCSW, MAC is a Clinical Social Worker healthcare provider located in PAGO PAGO, American Samoa. NPI 1487980611 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PAGO PAGO, AS

Registration Details

NPI Number
1487980611
Provider Type
Individual
Gender
Female
NPI Issued
Oct 22, 2009 (16.779536455479 yrs)
Last Updated
Oct 22, 2009
License
809 (CO)

Practice Information

Address
FIATELE TEO BLDG.
AIRPORT ROAD 1005
PAGO PAGO, AS, 967991005
Browse AS providers · Browse ZIP 96799
Phone
6846993725
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PAGO PAGO, AS

Name Credential NPI
MR. ROBERT LLOYD MAX TOELUPE MSW 1326375544
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.