Provider Information for 1821479486
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Mrs. EMILY GEORGE TILLEY LCSW
Sex: Female
NPI: 1821479486
Last Updated: 2025-01-30
Certification Date: 2025-01-30
Certification Date: 2025-01-30
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821479486 | ||||||||||||
| Enumeration Date | 2015-06-09 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1034 FOXLANE DR BATON ROUGE, LA 70819-2103 United States Phone: 225-288-0218 | Fax: | ||||||||||||
| Primary Practice Address | 1034 FOXLANE DR BATON ROUGE, LA 70819-2103 United States Phone: 225-288-0218 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 446 N 12TH ST | ||||||||||||
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