Individual
ANTHONY GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 E 84TH DR, MERRILLVILLE, IN 46410-6394
(219) 472-2062
Mailing address
233 E 84TH DR, MERRILLVILLE, IN 46410-6394
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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