Individual
CHERYL GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
9685 CHILLICOTHE RD, KIRTLAND, OH 44094-8503
(419) 681-4402
Mailing address
40 E 221ST ST, EUCLID, OH 44123-1110
(419) 681-4402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP. 10764
OH
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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