Individual
HEATHER MICHELLE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-A
Contact information
Practice address
4200 MERCHANT ST STE 103, COLUMBIA, MO 65203-5816
(573) 777-8783
Mailing address
5501 SADDLE RIDGE DR, COLUMBIA, MO 65203-9870
(720) 201-7223
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2023038424
MO
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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