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Organization

TILLMAN THERAPEUTIC SERVICES, PLLC

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Organization

TILLMAN THERAPEUTIC SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINA TILLMAN LCSW (ADULT & FAMILY THERAPIST)
(941) 313-7040
Entity
Organization

Contact information

Practice address
1808 ORCHID ST, SARASOTA, FL 34239-5131
(941) 313-7040
Mailing address
5530 GOODPASTURE GLN, BRADENTON, FL 34211-4000
(941) 313-7040

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW12757
FL
1041C0700X
Clinical Social Worker
SW12758
FL

Other

Enumeration date
11/14/2015
Last updated
11/14/2015
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