Individual
HAILEY NELL GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 N SILVER SPRINGS BLVD APT 1009, WICHITA, KS 67212-6087
(316) 214-8283
Mailing address
770 N SILVER SPRINGS BLVD APT 1009, WICHITA, KS 67212-6087
(316) 214-8283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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