JAMIE NICOLE MAYNARD-GILLIAM

LOUISA, KY
NPI1205545316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
JAMIE NICOLE MAYNARD-GILLIAM
125 S MAIN CROSS ST
LOUISA, KY 41230-1065
Phone number: 606-638-0938
Mailing Address
JAMIE NICOLE MAYNARD-GILLIAM
332 RIVER BEND RD
LOUISA, KY 41230-1407
Phone number: 606-638-0938
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