Individual
MAGGIE RYAN GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
902 S. 2ND STREET, HIAWATHA, KS 66434
(785) 742-7113
Mailing address
24208 Q RD, HOLTON, KS 66436-8484
(785) 304-3583
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
774
KS
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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