Individual
MISS JAMILA MONIQUE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
9603 CUSTER RD # 1221, PLANO, TX 75025-6516
(817) 460-9308
Mailing address
9603 CUSTER RD APT 1221, PLANO, TX 75025-6516
(817) 460-9308
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
56214
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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Other
Enumeration date
08/27/2012
Last updated
02/05/2022
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