Amy A Gillen

NPI #1578997243 in Decatur, Illinois

Provider Information

NPI Number: 1578997243
Entity Type: Individual
Name: Amy A Gillen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Aug 29, 2013
Last Updated: Aug 29, 2013

Practice Location

Address: 151 N MAIN ST
City: Decatur
State: Illinois
ZIP Code: 62523-1206
Phone: (217) 362-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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