Individual
AMY TILLOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2366 UNION AVE, ALAMOGORDO, NM 88310-3848
(575) 430-4035
Mailing address
2366 UNION AVE, ALAMOGORDO, NM 88310-3848
(575) 430-4035
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-07972
NM
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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