Individual
MISS AMARETTA MARIE GILMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4046 MCCONNELL CT, SPRINGFIELD, IL 62707-3018
(217) 753-1213
Mailing address
4046 MCCONNELL CT, SPRINGFIELD, IL 62707-3018
(217) 753-1213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104524
TX
235Z00000X
Speech-Language Pathologist
16668
CA
235Z00000X
Speech-Language Pathologist
22004804A
IN
235Z00000X
Speech-Language Pathologist
Primary
242000431
IL
235Z00000X
Speech-Language Pathologist
7814
MA
235Z00000X
Speech-Language Pathologist
LL 60024121
WA
235Z00000X
Speech-Language Pathologist
SA 10348
FL
Other
Enumeration date
04/12/2007
Last updated
04/11/2010
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