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Individual
LASHONDA TILLIS
Active
Individual
LASHONDA TILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
20014947
IN
376J00000X
Homemaker
20014947
IN
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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