MARK GILLMAN

OTTUMWA, IA
NPI1093242778
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  15002)
Enumeration Date2017-05-12
Last Update Date2017-05-12
Business Address
-- MARK GILLMAN BA, CADC
310 W. MAIN ST
OTTUMWA, IA 52501
Phone number: 641-683-6747
Mailing Address
-- MARK GILLMAN BA, CADC
PO BOX 658
OTTUMWA, IA 52501
Phone number: 641-683-6747
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