MRS. Nicole Bernadine Tillman, LCSW-C

NPI #1407188261 in Largo, Maryland

Provider Information

NPI Number
1407188261
Entity Type
Individual
Name
MRS. Nicole Bernadine Tillman, LCSW-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW-C
Enumeration Date
Feb 4, 2010
Last Updated
Feb 4, 2010

Practice Location

Address
9500 ARENA DR STE 460A
City
Largo
ZIP Code
20774-3755
Phone
(301) 825-4739

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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