Individual
MS. FAHEEMAH B TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAIN ST, SOUTH AMBOY, NJ 08879-1142
(732) 727-2555
Mailing address
282 S 11TH AVE, HIGHLAND PARK, NJ 08904-3418
(732) 925-9264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/09/2009
Last updated
06/11/2014
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