Individual
JENNIFER JO GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, BCBA
Contact information
Practice address
600 42ND ST, DES MOINES, IA 50312-2701
(515) 255-8399
Mailing address
2505 SHADY LANE DR, NORWALK, IA 50211-9681
(515) 210-5494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06126
IA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
02/09/2019
Last updated
02/18/2019
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