Individual
MARY E GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2758 E MILLENNIUM PL, FAYETTEVILLE, AR 72703-4798
(479) 283-4637
Mailing address
1722 N COLLEGE AVE STE C, FAYETTEVILLE, AR 72703-2640
(479) 502-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AR
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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