Individual
TEDDRICK GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3869 BELLEAU WOOD DR, LEXINGTON, KY 40517-1859
(502) 320-7791
Mailing address
3869 BELLEAU WOOD DR APT 6, LEXINGTON, KY 40517-1860
(502) 320-7791
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
293857
KY
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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