Individual
AMOND TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
399 MILL HILL AVE, BRIDGEPORT, CT 06610-2865
(203) 953-3369
Mailing address
399 MILL HILL AVE, BRIDGEPORT, CT 06610-2865
(203) 953-3369
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001099
CT
Other
Enumeration date
12/26/2014
Last updated
12/26/2014
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