Individual
MRS. BAILEY GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
17235 N 75TH AVE STE F100, GLENDALE, AZ 85308-0871
(480) 641-1165
Mailing address
335 N ALMA SCHOOL RD STE E, CHANDLER, AZ 85224-4363
(480) 641-1165
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC18882
AZ
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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