Individual
MS. JENNIFER GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
419 INTERSTATE PARK DR, MONTGOMERY, AL 36109-5448
(334) 396-9323
Mailing address
419 INTERSTATE PARK DR, MONTGOMERY, AL 36109-5448
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C1958A
AL
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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