Search › New York › 1041C0700X
Khadijah Tillman, LCSW-R
NPI 1851618391 · on the registry since 2010 · sole proprietor
Practice
- Address
- 4 Chelmsford Rd.
Rochester, NY 14609 - Phone
- (585) 713-2071
- Organisation at this address
- Khadijah Tillman, Lcsw
Twelve Corners Dentistry Pllc
Stephen R. Gaylord L.C.S.W. PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York