Individual
WILLIAM GAMMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 FREDERICA ST STE 105, OWENSBORO, KY 42301-3076
(270) 215-1827
Mailing address
PO BOX 322, OWENSBORO, KY 42302-0322
(270) 215-1827
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
18402
KY
101YP1600X
Pastoral Counselor
—
ZZ
Other
Enumeration date
05/11/2017
Last updated
12/08/2018
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