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1790538320
HEIDI GILLMORE
PUYALLUP, WA
NPI
1790538320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 61346607)
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
HEIDI GILLMORE LMHCA
5620 112TH ST E STE 215
PUYALLUP, WA 98373-3206
Phone number: 253-444-7176
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Mailing Address
HEIDI GILLMORE LMHCA
1501 179TH STREET CT E
SPANAWAY, WA 98387-1953
Phone number: 319-480-3454
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