Individual
GILLIAN ALOISIA SQUILLACIOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1635 S DEKALB ST, APT 109, SHELBY, NC 28152
(631) 974-9403
Mailing address
1635 S DEKALB ST, APT 109, SHELBY, NC 28152
(631) 974-9403
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
006155
NY
101YM0800X
Mental Health Counselor
Primary
11397
NC
101YM0800X
Mental Health Counselor
—
NC
Other
Enumeration date
12/11/2014
Last updated
02/09/2015
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