Individual
AMANDA HOPE TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1905 S HUTCHINSON AVE, ADEL, GA 31620-5246
(229) 896-4559
(229) 896-7663
Mailing address
1905 S HUTCHINSON AVE, ADEL, GA 31620-5246
(229) 896-4559
(229) 896-7663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001033
GA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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