Provider Information for 1730462201
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TERRI LILLER MSW, LISW-S, LICDC
Other Names:Other Name:TENLEY L DAVIS MSW,LISW-S,LICDCSex: Female
NPI: 1730462201
Last Updated: 2023-08-15
Certification Date: 2023-08-15
Certification Date: 2023-08-15
Details
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NPI | 1730462201 | ||||||||||||
Enumeration Date | 2011-09-21 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
Mailing Address | 7 COURT ST STE 260 CANFIELD, OH 44406-1407 United States Phone: 330-333-9559 | Fax:414-234-0069 | ||||||||||||
Primary Practice Address | 7 COURT ST STE 260 CANFIELD, OH 44406-1407 United States Phone: 330-333-9559 | Fax:414-234-0069 | ||||||||||||
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