Tillman, Liara Micaela

Tillman, Liara Micaela is an sole proprietor health care provider with primary practice located at 9697 191St St , Mokena IL 60448-8609. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tillman, Liara Micaela can be contacted via phone (630) 305-5027.

Contact Information

Primary practice address
9697 191St St Mokena IL 60448-8609
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1487984431 Illinois

Profile Details

NPI number 1487984431
LBN Legal business name Tillman, Liara Micaela
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 13th, 2010
Last updated May 7th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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