Individual
AMY H GALLIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1630 CUSTER DR, SOUTHAVEN, MS 38671-5229
(662) 280-2200
Mailing address
1630 CUSTER DR, SOUTHAVEN, MS 38671-5229
(662) 280-2200
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1482
TN
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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