Individual
CHANDLER TERRELL TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PEER SUPPORT
Contact information
Practice address
1939 OBERLIN AVE, LORAIN, OH 44052-3959
(440) 963-7042
Mailing address
1939 OBERLIN AVE, LORAIN, OH 44052-3959
(440) 963-7042
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
APS.003139
OH
Other
Enumeration date
09/19/2025
Last updated
11/11/2025
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