Individual
SHELBY GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 SWN DR STE 101, CONWAY, AR 72032-2558
(501) 328-3274
Mailing address
1000 SWN DR STE 101, CONWAY, AR 72032-2558
(501) 328-3274
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
AR
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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