Individual
JAYLEN GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-7246
(774) 628-1094
Mailing address
68 N FRONT ST, NEW BEDFORD, MA 02740-7327
(774) 628-1094
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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