Individual
JACQUELINE TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RAS
Contact information
Practice address
11015 BLOOMFIELD AVE, SANTA FE SPRINGS, CA 90670-4601
(626) 485-6088
Mailing address
10669 ELLEN ST, EL MONTE, CA 91731-1205
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
09/13/2012
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