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1881764769
CAROL GILLIOM
ELLENSBURG, WA
NPI
1881764769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW00004092)
Enumeration Date
2006-11-08
Last Update Date
2011-03-22
Business Address
-- CAROL GILLIOM
220 W 4TH AVE
ELLENSBURG, WA 98926-3060
Phone number: 509-925-9861
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Mailing Address
-- CAROL GILLIOM
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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