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Individual

MRS. DARLENE GILLIAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2924 PROVIDENCE CREEK RD, RICHMOND, VA 23236-5266
(804) 745-7910
(804) 745-7910
Mailing address
2924 PROVIDENCE CREEK RD, RICHMOND, VA 23236-5266
(804) 745-7910
(804) 745-7910

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
33-11771899
VA
171M00000X
Case Manager/Care Coordinator
VA

Other

Enumeration date
08/10/2007
Last updated
08/10/2007
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