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Individual

MIRANDA L GILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
717 AIRPORT RD, CEDAR BLUFF, VA 24609-9077
(865) 585-2053
Mailing address
717 AIRPORT RD, CEDAR BLUFF, VA 24609-9077
(865) 585-2053

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103441
VA

Other

Enumeration date
03/29/2021
Last updated
03/29/2021
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