Individual
DR. BETTY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
4519 CASCADE RD SE, BUILDING 1 SUITE 6, GRAND RAPIDS, MI 49546-3666
(616) 644-4635
Mailing address
4519 CASCADE RD SE, BUILDING 1 SUITE 6, GRAND RAPIDS, MI 49546-3666
(616) 644-4635
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301011308
MI
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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