NPI 1043882483
Glen Tilghman, LCSW
Practice location
- Address
- 374 N Parkway STE B4, Jackson, TN 38305-2895
- Phone
- (731) 300-5131
- Mailing address
- 196 Preacher Dowland Rd, Kenton, TN 38233-3071
Registered specialties
Clinical Social Worker
Primary
Registry record
- NPI
- 1043882483
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 14 Jul 2021
- Record last updated
- 15 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.