Individual
LANISSA YVETTE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2200 FORT ROOTS DR RM 1H112, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3345
(501) 257-3060
Mailing address
900 KIERRE DR, NORTH LITTLE ROCK, AR 72116-3708
(501) 503-8624
(501) 257-3060
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8863-LM
AR
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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