Individual
JEANNE MARIE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 NO. MAIN ST., SAN LUIS, AZ 85349-7986
(928) 627-6985
Mailing address
2211 W TONTO RIDGE RD, PRESCOTT, AZ 86305-3939
(928) 445-4605
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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