Kelly Gilliam

NPI #1225565732 in Pinckney, Michigan

Provider Information

NPI Number: 1225565732
Entity Type: Individual
Name: Kelly Gilliam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 15, 2017
Last Updated: May 8, 2018

Practice Location

Address: 9215 ANNE ST
City: Pinckney
State: Michigan
ZIP Code: 48169-8905
Phone: (734) 904-8265

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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