Individual
JILL G GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
Mailing address
65 MESSIMER DR, NEWARK, OH 43055-1874
(740) 522-8477
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S.1700216
OH
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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