Robert J Tully, LISW

NPI #1689109597 in Berea, Ohio

Provider Information

NPI Number: 1689109597
Entity Type: Individual
Name: Robert J Tully, LISW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LISW
Enumeration Date: Apr 28, 2017
Last Updated: Apr 21, 2020

Practice Location

Address: 202 E BAGLEY RD
City: Berea
State: Ohio
ZIP Code: 44017-2058
Phone: (440) 234-2006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary
Social Worker	104100000X

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