Individual
DEADRA TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
60 CATHY LN, BURLINGTON, NJ 08016-9727
(609) 499-0165
Mailing address
6 CATHY LANE, FLORENCE, NJ 08518
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
10/28/2016
Last updated
10/28/2016
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