Individual
JENNIFER GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
7211 TAYLORSVILLE RD, SUITE 204, HUBER HEIGHTS, OH 45424-2376
(937) 838-9647
Mailing address
4026 NAVAJO AVE, HUBER HEIGHTS, OH 45424-2827
(937) 212-9229
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.0030617
OH
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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