Individual
EMILY GILLIAM MIMBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4229 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
(205) 531-8998
Mailing address
1047 INDEPENDENCE CT, ALABASTER, AL 35007-9361
(205) 663-8704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2007
AL
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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