Individual
DEVIN NICOLE TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-A
Contact information
Practice address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470-6094
(910) 754-4515
Mailing address
120 COASTAL HORIZONS DR, SHALLOTTE, NC 28470-6094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014762
NC
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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