Individual
DAWNIELLE EUGENIA TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 ELLINGTON BLVD APT 310, GAITHERSBURG, MD 20878-4535
(601) 209-7428
Mailing address
113 ELLINGTON BLVD APT 310, GAITHERSBURG, MD 20878-4535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC9744
MD
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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