Individual
LYRIC TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GERANIUM ST, GRANITEVILLE, SC 29829-3242
(706) 414-5760
Mailing address
462 GERANIUM ST, GRANITEVILLE, SC 29829-3242
(706) 414-5760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15437
SC
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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