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Organization

PATRICK EDWARD GILLILAND, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PATRICK EDWARD GILLILAND LMFT (MARRIAGE AND FAMILY THERAPIST)
(602) 463-5673
Entity
Organization

Contact information

Practice address
9635 VENTANA WAY, SUITE 101, JOHNS CREEK, GA 30022-8620
(678) 366-8862
(678) 739-0119
Mailing address
9635 VENTANA WAY, SUITE 101, JOHNS CREEK, GA 30022-8620
(678) 366-8862
(678) 739-0119

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001143
GA

Other

Enumeration date
02/18/2014
Last updated
02/18/2014
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