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Individual

MILDRED BENNETT TILLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCMHC-S,LPC

Contact information

Practice address
3921 CALIPER PL, FORT MILL, SC 29708-8380
(803) 487-6837
Mailing address
3921 CALIPER PL, FORT MILL, SC 29708-8380
(803) 487-6837

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6864
SC
101YM0800X
Mental Health Counselor
S10076
NC

Other

Enumeration date
05/20/2013
Last updated
11/20/2024
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