Individual
JAMONI TILLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2215 FULLER RD, ANN ARBOR, MI 48105-2303
(734) 769-7100
Mailing address
2215 FULLER RD # 122, ANN ARBOR, MI 48105-2303
(734) 222-7577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801107275
MI
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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