Christine Renee Tillman, LMSW

NPI #1265289193 in Grants, New Mexico

Provider Information

NPI Number: 1265289193
Entity Type: Individual
Name: Christine Renee Tillman, LMSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: Apr 30, 2024
Last Updated: May 8, 2024

Practice Location

Address: 1040 SAKELARES BLVD
City: Grants
State: New Mexico
ZIP Code: 87020-3819
Phone: (505) 876-1890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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