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1831533116
JAMES L GILLUM
WEST PLAINS, MO
NPI
1831533116
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MO 2007015287)
Enumeration Date
2013-04-17
Last Update Date
2013-04-17
Business Address
Prof. JAMES L GILLUM MS LPC CRADC CCDP-D
1015 LANTON RD
WEST PLAINS, MO 65775-3854
Phone number: 417-256-2570
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Mailing Address
Prof. JAMES L GILLUM MS LPC CRADC CCDP-D
1022 W 2ND ST
WEST PLAINS, MO 65775-2367
Phone number: 417-818-7204
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