Individual
AMBRIELLE ELIZABETH GILMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 W MONROE ST, SPRINGFIELD, IL 62704-2019
(502) 805-9643
Mailing address
2475 W MONROE ST, SPRINGFIELD, IL 62704-2019
(502) 805-9643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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