Individual
GAYLE DILLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SASSAFRAS ST, AMITE, LA 70422-3425
(985) 247-2838
Mailing address
111 POE ST, MADISONVILLE, LA 70447-9498
(601) 951-4902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/19/2016
Last updated
04/16/2021
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