EDGAR TILLISON

COMPTON, CA
NPI1427193374
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  IMF 38333)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mr. EDGAR TILLISON
1055 W VICTORIA ST
COMPTON, CA 90220-5804
Phone number: 310-868-5379
Mailing Address
Mr. EDGAR TILLISON
2601 E. VICTORIA STREET SPC #221
COMPTON, CA 90220-7027
Phone number: 310-631-1243