Individual
SHERYL LYNN GILLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 E GURLEY STREET, PRESCOTT, AZ 86301-3244
(928) 200-5631
Mailing address
917 E GURLEY STREET, PRESCOTT, AZ 86301-3244
(928) 200-5631
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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