Individual
LORRAINE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2012 EASTVIEW PKWY STE 400, CONYERS, GA 30013-5701
(770) 679-0586
Mailing address
1154 SAINT PHILLIPS CT, LOCUST GROVE, GA 30248-4360
(770) 898-4478
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009065
GA
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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