Individual
PAMELA GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1570 MAIN ST STE 11, OXFORD, ME 04270-3390
(207) 743-8972
Mailing address
11 GARY ST, SOUTH PARIS, ME 04281-1636
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP155
ME
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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