Individual
JULIE GILLIAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1310 NORTHVIEW DR, COLORADO SPRINGS, CO 80909-3027
(719) 963-1136
Mailing address
1310 NORTHVIEW DR, COLORADO SPRINGS, CO 80909-3027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12097588
CO
Other
Enumeration date
10/16/2012
Last updated
05/21/2024
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