Individual
ANNA FELISE TILLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1635 10TH AVE, BROOKLYN, NY 11215-6001
(917) 498-3012
Mailing address
1635 10TH AVE APT 4R, BROOKLYN, NY 11215-6001
(917) 498-3012
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
105715-1
NY
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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