Individual
EMILY J TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11370 N STATE ROAD 67, MOORESVILLE, IN 46158-6368
(317) 834-8187
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008349A
IN
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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