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Search › Michigan › 1041C0700X

Ricardo Tillery, MBA, LMSW, ICAADC

NPI 1528380623 · on the registry since 2010 · sole proprietor

Practice

Address
3721 W Michigan Ave Ste 200
Lansing, MI 48917
Phone
(517) 515-6176
Organisation at this address
Medicab
Assurance Processing
Faith Health Systems
Believe Home Care Llc
Innovative Care Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
101YA0400X
103K00000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-09-13

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 Michigan