Individual
SAMANTHA ADELLE GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723
(308) 217-4277
Mailing address
815 FLACK AVE, ALLIANCE, NE 69301-2722
(308) 762-2723
(308) 217-4277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-1338
NE
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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