GRANT THOMAS GILLIAM

BLOOMINGTON, IN
NPI1730659301
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39003932A)
Enumeration Date2018-11-27
Last Update Date2021-03-25
Business Address
GRANT THOMAS GILLIAM LMHC
550 S ADAMS ST
BLOOMINGTON, IN 47403-2165
Phone number: 812-333-6324
Mailing Address
GRANT THOMAS GILLIAM LMHC
550 S ADAMS ST
BLOOMINGTON, IN 47403-2165
Phone number: 812-333-6324
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