Individual
KIMBERLY GILLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1298 BAY DALE DR STE 211, ARNOLD, MD 21012-2815
(410) 919-4904
Mailing address
1298 BAY DALE DR STE 211, ARNOLD, MD 21012-2815
(410) 919-4904
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/22/2010
Last updated
09/20/2022
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