Individual
JEFFREY RYAN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
31413 WINTERPLACE PKWY, SUITE 102, SALISBURY, MD 21804-1877
(410) 742-3055
(443) 944-0095
Mailing address
31413 WINTERPLACE PKWY, SUITE 102, SALISBURY, MD 21804-1877
(410) 742-3055
(443) 944-0095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20090
MD
133V00000X
Registered Dietitian
DO2126
MD
133V00000X
Registered Dietitian
N00206
MD
Other
Enumeration date
03/12/2007
Last updated
04/06/2015
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