Individual
TAMELA GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1126 SAM NEWELL RD, MATTHEWS, NC 28105-5083
(704) 286-6224
Mailing address
1126 SAM NEWELL RD, MATTHEWS, NC 28105-5083
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
493
NC
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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