Individual
MS. JULIE MARIE GULLICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7331 BRUNO AVE, SAINT LOUIS, MO 63117-2409
(314) 781-7314
Mailing address
7331 BRUNO AVE, SAINT LOUIS, MO 63117-2409
(314) 781-7314
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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