Individual
SHERRI GILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16107 FM 362 RD, WALLER, TX 77484-9369
(936) 524-7757
(281) 251-0577
Mailing address
PO BOX 2146, PRAIRIE VIEW, TX 77446-2146
(936) 524-7757
(281) 251-0577
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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