Individual
BETH GILLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2416 21ST AVE S, NASHVILLE, TN 37212-5316
(615) 499-5453
Mailing address
2416 21ST AVE S, NASHVILLE, TN 37212-5316
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
TN
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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