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Organization

BARBARA A TILLMAN MSW ACSW LSW INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA A TILLMAN MSW (CLINICAL SOCIAL WORKER)
(918) 333-1708
Entity
Organization

Contact information

Practice address
801 SE WASHINGTON BLVD, BARTLESVILLE, OK 74006
(918) 333-1708
(918) 333-1729
Mailing address
4812 ROLLING MEADOWS RD, BARTLESVILLE, OK 74006

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100723810B
OK
Enumeration date
10/19/2006
Last updated
11/07/2008
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