Individual
DEBRA A GILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
1601 SW ARCHER RD, HRMS (05B19), GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
4116 ALPINE DR, GAINESVILLE, FL 32605-1618
(352) 316-2085
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.012755
IL
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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