Individual
FAITH LEANN TILLMANNSHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 MEMORIAL CIR, CLARKSVILLE, TN 37043-4539
(931) 206-7972
Mailing address
1003 GARNER HILLS DR, CLARKSVILLE, TN 37042-1749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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