Individual
MRS. ALWILDA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, LPCA
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
PO BOX 568, CORBIN, KY 40702-0568
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
128168
KY
Other
Enumeration date
03/06/2012
Last updated
06/08/2016
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