Individual
AMANDA GILMOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 OFFICE PKWY, SAINT LOUIS, MO 63141-7103
(636) 221-1302
Mailing address
1045 W 7TH ST, WASHINGTON, MO 63090-1705
(636) 221-1302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2021011010
MO
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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