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1639305386
FAHEEMAH B TILLMAN
SOUTH AMBOY, NJ
NPI
1639305386
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2009-06-09
Last Update Date
2014-06-11
Business Address
MS. FAHEEMAH B TILLMAN
1 MAIN ST
SOUTH AMBOY, NJ 08879-1142
Phone number: 732-727-2555
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Mailing Address
MS. FAHEEMAH B TILLMAN
282 S 11TH AVE
HIGHLAND PARK, NJ 08904-3418
Phone number: 732-925-9264
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