Individual
TILLIE SUE WORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 SOUTHERN BLVD SE STE 14, RIO RANCHO, NM 87124-3750
(505) 994-0161
Mailing address
7700 HARRIER AVE NW, ALBUQUERQUE, NM 87114-4442
(505) 659-1106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/27/2012
Last updated
10/06/2020
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