Conley Tillman Jr.
Conley Tillman Jr. is a Social Worker in Springfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
2624 Lexington AveSpringfield, OH 45505-2620
Phone: (937) 328-5300
Fax: (937) 322-4900
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence LCDCIII.162257 (OH) |
|---|---|
| Social Worker | Taxonomy 104100000X · Licence W.1800116 (OH) |
| Case Manager/Care Coordinator | Taxonomy 171M00000X · Licence CDCA.166069 (OH) |
Record details
| NPI number | 1629549423 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 6, 2018 |
| Last updated in NPPES | September 14, 2021 |
| Certification date | September 14, 2021 |
| Mailing address | 2624 Lexington Ave, Springfield, OH 45505-2620 |
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