Individual
DIMOND BROOKE TULLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5800 SOUTHLAND DR, MOBILE, AL 36693-3313
(251) 544-4655
Mailing address
5750A SOUTHLAND DR, MOBILE, AL 36693-3316
(251) 450-2211
(251) 662-7297
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4667C
AL
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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