MALISA TILLMAN

LAFAYETTE, LA
NPI1316312127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-12-04
Last Update Date2019-05-08
Business Address
MALISA TILLMAN
1144 COOLIDGE BLVD STE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
Mailing Address
MALISA TILLMAN
1144 COOLIDGE BLVD STE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
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