Individual
DENENEA CONNER-TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
(951) 601-6200
Mailing address
12815 HEACOCK ST, MORENO VALLEY, CA 92553-3116
(951) 601-6200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCS 25511
CA
Other
Enumeration date
07/18/2009
Last updated
12/14/2021
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