Individual
NICOLE LEIGH TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
26845 POINT LOOKOUT RD UNIT 1, LEONARDTOWN, MD 20650-4935
(240) 309-4015
Mailing address
26845 POINT LOOKOUT RD STE 1, LEONARDTOWN, MD 20650-4935
(240) 309-4015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30851
MD
Other
Enumeration date
11/01/2023
Last updated
07/31/2024
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