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1831233824
LAURA GILLAM
KOKOMO, IN
NPI
1831233824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IN 39001976)
Enumeration Date
2007-02-16
Last Update Date
2015-01-13
Business Address
LAURA GILLAM
3409 S 200 W
KOKOMO, IN 46902-9613
Phone number: 260-563-8453
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Mailing Address
LAURA GILLAM
3563 S STATE ROAD 13
WABASH, IN 46992-9162
Phone number: 260-563-8453
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