Individual
MS. CARRELLE SHAFFER TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1630 CONNECTICUT AVE NW, SUITE 400, WASHINGTON, DC 20009-1053
(240) 463-1834
Mailing address
1621 MONTAGUE ST NW, WASHINGTON, DC 20011-2873
(240) 463-1834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC50077825
DC
Other
Enumeration date
04/02/2007
Last updated
12/02/2015
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