Individual
LORIA TILLIS-BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
3810 WINCHESTER RD, MEMPHIS, TN 38118-6045
(901) 567-3554
Mailing address
2150 WHITNEY AVE, MEMPHIS, TN 38127-6662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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