Individual
DAMIRA DEVONNA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSWA
Contact information
Practice address
2269 STANTONSBURG RD, GREENVILLE, NC 27834-2841
(252) 439-0700
Mailing address
2269 STANTONSBURG RD, GREENVILLE, NC 27834-2841
(252) 439-0700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P017361
NC
Other
Enumeration date
03/31/2022
Last updated
04/18/2022
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