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Individual

AMELIA GILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2704 REW CIR STE 105F, OCOEE, FL 34761-2994
(321) 436-8445
(407) 298-9166
Mailing address
2704 REW CIR STE 105F, OCOEE, FL 34761-2994
(321) 436-8445
(407) 298-9166

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
IMH 14499
FL

Other

Enumeration date
02/16/2016
Last updated
02/16/2016
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