Individual
DR. SANDRA LAING GILLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SANDRA GILLAM
Contact information
Practice address
1028 EASTRIDGE DR, LOGAN, UT 84321-4990
(435) 753-9629
Mailing address
1028 EASTRIDGE DR, LOGAN, UT 84321-4990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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