Individual
STACEY MILLIE GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICIAN
Contact information
Practice address
435 S RIDGEWOOD AVE STE 204C-205, DAYTONA BEACH, FL 32114-4927
(386) 747-6541
Mailing address
777 BENNETT RD, SOUTH DAYTONA, FL 32119-1837
(386) 316-0187
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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