Individual
MELANIE GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19319 DEREK WAY, MOKENA, IL 60448-1169
(708) 539-9445
Mailing address
19319 DEREK WAY, MOKENA, IL 60448-1169
(708) 539-9445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23851
IL
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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