Individual
JAMES RANDOL GILOOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
13 BAY AVE., UNIT C, OLD ORCHARD BEACH, ME 04064
(207) 205-2074
Mailing address
13 BAY AVE UNIT C, OLD ORCHARD BEACH, ME 04064-2609
(207) 205-2074
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS2597
ME
1041C0700X
Clinical Social Worker
2014012232
MO
1041C0700X
Clinical Social Worker
LC17038
ME
Other
Enumeration date
02/08/2018
Last updated
11/22/2024
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