Jeannetta Gilliam

NPI #1801371422 in West Memphis, Arkansas

Provider Information

NPI Number: 1801371422
Entity Type: Individual
Name: Jeannetta Gilliam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Sep 28, 2018
Last Updated: Sep 28, 2018

Practice Location

Address: 205 W BOND AVE
City: West Memphis
State: Arkansas
ZIP Code: 72301-3907
Phone: (870) 208-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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