Individual
MELISSA TILLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8678 W DARTMOUTH PL, LAKEWOOD, CO 80227-4709
(970) 235-0913
Mailing address
8678 W DARTMOUTH PL, LAKEWOOD, CO 80227-4709
(970) 235-0913
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0013717
CO
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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