Individual
VERA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 W MCDOWELL RD, AVONDALE, AZ 85392-4863
(480) 641-1165
Mailing address
13278 W REDFIELD RD, SURPRISE, AZ 85379-6436
(480) 567-8761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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