Individual
COURTNEY GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 E WORTHY ST, GONZALES, LA 70737-4367
(855) 345-2273
Mailing address
116 S SEASHORE AVE, LONG BEACH, MS 39560-5707
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/07/2020
Last updated
02/09/2021
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