Individual
JILLIAN L TEBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
390 ERIE AVE, CONNERSVILLE, IN 47331-3177
(765) 825-4124
(765) 825-3649
Mailing address
390 ERIE AVE, CONNERSVILLE, IN 47331-3177
(765) 825-4124
(765) 825-3649
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34008502A
IN
Other
Enumeration date
11/08/2011
Last updated
07/22/2019
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