Gilliom, Carol

Gilliom, Carol is an individual health care provider with primary practice located at 220 W 4Th Ave , Ellensburg WA 98926-3060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gilliom, Carol can be contacted via phone (509) 925-9861.

Contact Information

Primary practice address
220 W 4Th Ave Ellensburg WA 98926-3060
Phone: (509) 925-9861
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00004092 Washington

Profile Details

NPI number 1881764769
LBN Legal business name Gilliom, Carol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Mar 22nd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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