Individual
MRS. SUSAN ANN TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
14369 RIDGE RD WEST, SUITE 2, ALBION, NY 14411
(585) 682-0338
(585) 589-7341
Mailing address
14192 ROOSEVELT HWY, WATERPORT, NY 14571-9750
(585) 682-9740
(585) 589-7341
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LMHC 1260
NY
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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