Individual
REBECCA JAYNE GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(283) 331-3310
(228) 284-1608
Mailing address
8990 LORRAINE RD, GULFPORT, MS 39503-4176
(283) 331-3310
(228) 284-1608
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C7691
MS
Other
Enumeration date
04/22/2020
Last updated
02/27/2024
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