Individual
LAUREN TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
627 MIDDLETON RD, WINONA, MS 38967-2021
(662) 845-4399
(662) 845-4400
Mailing address
627 MIDDLETON RD, WINONA, MS 38967-2021
(662) 845-4399
(662) 845-4400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
247017
MS
235Z00000X
Speech-Language Pathologist
Primary
S3908
MS
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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