Individual
SOPHIE TILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
708 E 19TH ST, HOUSTON, TX 77008-4488
(713) 526-5055
Mailing address
616 MEMORIAL HEIGHTS DR APT 4307, HOUSTON, TX 77007-6056
(574) 252-9566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
108138
TX
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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