Tillman, Mary H

Tillman, Mary H is an sole proprietor health care provider with primary practice located at 3500 N State Road 7 Ste 211 , Lauderdale Lakes FL 33319-5625. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tillman, Mary H can be contacted via phone (954) 578-8399.

Contact Information

Primary practice address
3500 N State Road 7 Ste 211 Lauderdale Lakes FL 33319-5625
Phone: (954) 578-8399
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1790003275
LBN Legal business name Tillman, Mary H
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2010
Last updated May 9th, 2010 - about 14 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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