Macy A Tillman

NPI #1013633189 in Grandview, Missouri

Provider Information

NPI Number: 1013633189
Entity Type: Individual
Name: Macy A Tillman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Oct 19, 2022
Last Updated: Oct 19, 2022

Practice Location

Address: 7211 E 131ST ST
City: Grandview
State: Missouri
ZIP Code: 64030-3318
Phone: (816) 204-6654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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