Individual
MS. JUDY ELAINE GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 MAIN ST, LAFAYETTE, IN 47901-1451
(765) 446-6400
Mailing address
610 MAIN ST, LAFAYETTE, IN 47901-1451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000680A
IN
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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