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Search › Missouri › 1041C0700X

Michael Till, PH.D., LCSW

NPI 1528218328 · on the registry since 2008 · sole proprietor

Practice

Address
17844 E 23rd St S
Independence, MO 64057
Phone
(816) 254-3652
Fax
(816) 254-9243
Organisation at this address
Burrell, Inc.
Genoa Healthcare Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
103TC0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-08

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 Missouri