Individual
AVERY LYNN TILLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LGSW
Contact information
Practice address
235 HIGH ST, MORGANTOWN, WV 26505-5429
(304) 413-4301
Mailing address
1415 PEACOCK LN, FAIRMONT, WV 26554-5011
(248) 977-8004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW052517472
WV
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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