Individual
REBECCA GILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S DIVISION ST, POWELL, WY 82435-2409
(307) 754-7970
Mailing address
PO BOX 847, POWELL, WY 82435-0847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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