Hallie Jean Gilmore Gates

NPI #1629880430 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1629880430
Entity Type: Individual
Name: Hallie Jean Gilmore Gates
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 21, 2025
Last Updated: Jan 21, 2025

Practice Location

Address: 686 LESTER ST
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-5025
Phone: (573) 712-2902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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